H. Noelle Vaughn, Ms, Otr/L LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT.0004164 Issued in CO

Legal business name

H. NOELLE VAUGHN, MS, OTR/L LLC

Practice address

7282 Mount Meeker Rd
Longmont, CO 80503-7126

Phone

(970) 222-4620

NPI assigned

Oct 14, 2016

Organization subpart

No

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

Authorized official

Name

Heather Noelle Vaughn, MS, OTR/LNPI 1003211939

Title

Owner

Phone

(970) 222-4620

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Noelle Vaughn, MS, OTR/L

  • Pediatric Occupational Therapist
  • Longmont, CO
  • NPI 1003211939

  Pediatrics

  NPD Authorized official
• Kailey Melissa Cerefin, OTR/L

  • Pediatric Occupational Therapist
  • Longmont, CO
  • NPI 1710680343

  Pediatrics

  NPD

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1306397229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7282 MOUNT MEEKER RD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037126",
            "telephone_number": "970-222-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7282 MOUNT MEEKER RD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037126",
            "telephone_number": "970-222-4620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 Linden Ave",
            "address_2": "Apt B",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803041554",
            "country_code": "US",
            "telephone_number": "970-222-4620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "H. NOELLE VAUGHN, MS, OTR/L LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "NOELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-222-4620",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0004164",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CO",
            "license": "OT.0004164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48731765",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003211939",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Horacio Gutierrez, MD
• Reginald Guy, MD
• Aaron M Guzik, D.C.
• Jenifer Guzman
• Arlene K Gwin, NP
• H&H Optometry, P.C.
• Whitney Reed Haas, D.C.
• Dominica Annabeth Hadley, PA-C
• Hafezzadeh Vision LLC
• Neka Hafezzadeh, O.D.

• All providers in Longmont, CO
• Pediatric Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.