Individual provider Active NPI

Janice E Vaughn, APRN

  • Family Nurse Practitioner
  • Bristol, NH
National Provider Identifier
1316247596
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
057594-23 Issued in NH
Practice address
5 School St
Bristol, NH 03222
Phone
(603) 744-5441
Fax
(603) 744-3698
NPI assigned
Oct 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 057594-23 NH
Family Nurse Practitioner 363LF0000X 057594-23 NH Primary

Addresses

Primary practice location

5 School St
Bristol, NH 03222

Mailing address

PO Box 1327
Laconia, NH 03247-1327
Phone (603) 524-3211

Other practice location 1

311 Route 108
Somersworth, NH 03878-1522
Phone (603) 749-2346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110205000049 NH Practitioner - Nurse Practitioner 2466632609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

311 Route 108
Somersworth, NH 03878

311 Route 108 100
Somersworth, NH 03878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
057594-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Seacoast Community Health CurrentSince Feb 28, 2017 Accepting new patients
Greater Seacoast Community Health CurrentSince Feb 28, 2017 Accepting new patients
Greater Seacoast Community Health Past Accepting new patients

Locations

8 Greenleaf Woods Dr
Unit 100
Portsmouth, NH 03801
Phone (603) 422-8202

311 Route 108
Somersworth, NH 03878
Phone (603) 422-8208

Interoperability endpoints

  • Direct secure messaging: janice.vaughn.1@28518.direct.athenahealth.com

Organizations & group practices 3

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": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1316247596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1327",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032471327",
            "telephone_number": "603-524-3211",
            "fax_number": "603-527-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SCHOOL ST",
            "city": "BRISTOL",
            "state": "NH",
            "postal_code": "03222",
            "telephone_number": "603-744-5441",
            "fax_number": "603-744-3698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Route 108",
            "address_purpose": "LOCATION",
            "city": "Somersworth",
            "state": "NH",
            "postal_code": "038781522",
            "country_code": "US",
            "telephone_number": "603-749-2346",
            "fax_number": "603-953-0066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "JANICE",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "057594-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "057594-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, NH

Sources for this page

Verify at the official NPI Registry.