Individual provider Active NPI

Donnie A Vaughan, HIS

  • Hearing Instrument Specialist
  • Cordova, TN
National Provider Identifier
1295076644
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
754 Issued in TN
Practice address
303 Germantown Bend CV
Cordova, TN 38018-4243
Phone
(901) 751-2245
Fax
(888) 798-6190
NPI assigned
Mar 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 754 TN Primary
Hearing Instrument Specialist 237700000X HA0612 MS

Addresses

Primary practice location

303 Germantown Bend CV
Cordova, TN 38018-4243

Mailing address

303 Germantown Bend CV
Cordova, TN 38018-4243
Phone (901) 751-2245

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

State licenses

LicenseStateTypeSpecialty
HA0612MSMDHearing Instrument Specialist
754TNMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Donnie Vaughan and Thomas Vaughan Hearing Instrument Specialist Current Accepting new patients

Locations

303 Germantown Bend Cv
Cordova, TN 38018
Phone (901) 751-2245

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1295076644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 GERMANTOWN BEND CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184243",
            "telephone_number": "901-751-2245",
            "fax_number": "888-798-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 GERMANTOWN BEND CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184243",
            "telephone_number": "901-751-2245",
            "fax_number": "888-798-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "DONNIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "HIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TN",
            "license": "754",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MS",
            "license": "HA0612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.