Amy Marie Vaughn, DC

Individual provider Active NPI Chiropractor · Taos, NM

NPI 1295949196 · NPPES record last updated Jun 19, 2008

Key facts

NPI
1295949196
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
1694 (NM)
Practice address
98 St Hwy 150
Suite 7
Taos, NM 87571
Phone
(575) 776-1117
Fax
(575) 776-1119
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Colonias Chiropractic Center Inc Chiropractor Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1694 NM Yes

Addresses

Primary practice location

98 St Hwy 150
Suite 7
Taos, NM 87571

Mailing address

PO Box 1589
El Prado, NM 87529-1589
Phone (575) 776-1117

Other providers in Taos, NM

All providers in Taos, NM · Chiropractor in New Mexico

Sources for this page

Verify at the official NPI Registry.