Individual provider Active NPI

Heather Vaughn, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Edina, MN
National Provider Identifier
1306164751
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9417 Issued in MN
Practice address
6800 France Ave S Ste 520
Edina, MN 55435-2006
Phone
(612) 231-3003
Fax
(888) 959-5221
NPI assigned
May 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9417 MN Primary

Addresses

Primary practice location

6800 France Ave S Ste 520
Edina, MN 55435-2006

Mailing address

6800 France Ave S Ste 520
Edina, MN 55435-2006
Phone (612) 231-3003

Other practice location 1

10527 165th St W Ste B
Lakeville, MN 55044-5726
Phone (952) 955-4110

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
9417MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nexus of Hope Psychiatry & Mental Health Wellness PLLC Psychiatric/Mental Health PastSince Mar 20, 2025 Accepting new patients

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": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1306164751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 FRANCE AVE S STE 520",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352006",
            "telephone_number": "612-231-3003",
            "fax_number": "888-959-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 FRANCE AVE S STE 520",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352006",
            "telephone_number": "612-231-3003",
            "fax_number": "888-959-5221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10527 165th St W Ste B",
            "address_purpose": "LOCATION",
            "city": "Lakeville",
            "state": "MN",
            "postal_code": "550445726",
            "country_code": "US",
            "telephone_number": "952-955-4110",
            "fax_number": "952-955-7482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "HEATHER",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "9417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.