Jennifer Leigh Vaupel, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA030501 Issued in DC

Practice address

250 S 4TH St RM 510
Minneapolis, MN 55415-1321

Phone

(612) 673-5305

NPI assigned

Oct 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1306033675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S 4TH ST RM 510",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151321",
            "telephone_number": "612-673-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S 4TH ST RM 510",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151321",
            "telephone_number": "612-673-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUPEL",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA030501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Byron P Vaughn, M.D.
• Gregory Vaughn, MD
• Melissa Vaughn, LICSW
• Pamela A Vaughn, RN, ANP-C
• Megan Vaught
• Lisa Corinne Vaupel, LMFT
• Vaurio and Schmidt, M.D.S
• C Edward Vaurio, M.D.
• Ilan Vavilin, MD
• Alice Ann Vawter, PHYSICAL THERAPIST

• Physician Assistant in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.