Active NPI
Erin Paige Vaughn
- Pediatric Nurse Practitioner
- O'Fallon, MO
National Provider Identifier
1275329104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 2025012735
- Practice address
- 301 Caledonia Pkwy Ste 220
O Fallon, MO 63368-6690 - Phone
- (636) 755-3400
- NPI assigned
- Apr 17, 2025
- Last updated
- Apr 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 2025012735 | MO | Primary |
Addresses
Primary practice location
301 Caledonia Pkwy Ste 220
O Fallon, MO 63368-6690
Mailing address
24 Lemon Tree Dr
Saint Peters, MO 63376-2767
Phone (636) 328-3986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025012735 | MO | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St Louis | Past | Accepting new patients | |
| SSM Depaul Medical Group, Inc. | Past | Accepting new patients | |
| SSM Health Care Group | Past | Accepting new patients |
Interoperability endpoints
- epurgahn146950@direct-ehr-ssmhc.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba SSM Health Medical Group
- Internal Medicine Physician
- Maryland Heights, MO
- NPI 1760456743
-
dba SLUCare Physician Group
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
dba SSM Health St Clare Fenton
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1275329104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 LEMON TREE DR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633762767",
"telephone_number": "636-328-3986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 CALEDONIA PKWY STE 220",
"city": "O FALLON",
"state": "MO",
"postal_code": "633686690",
"telephone_number": "636-755-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "ERIN",
"middle_name": "PAIGE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-17",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MO",
"license": "2025012735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O'Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.