Individual provider Active NPI

Chesney Lee Vaughn, OTR/L

  • Occupational Therapist
  • Kansas City, MO
National Provider Identifier
1326783663
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
113807 Issued in IA
Practice address
15600 Woods Chapel Rd
Kansas City, MO 64139-1354
Phone
(816) 478-4757
NPI assigned
May 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 113807 IA Primary

Addresses

Primary practice location

15600 Woods Chapel Rd
Kansas City, MO 64139-1354

Mailing address

1201 W Riverside Ave
Wichita, KS 67203-3257
Phone (316) 644-5253

Other practice location 1

2306 Sherwood Dr
Council Bluffs, IA 51503-1048
Phone (712) 322-1000

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
113807IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Rose of Council Bluffs, L.P. PastSince May 1, 2022 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": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1326783663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W RIVERSIDE AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033257",
            "telephone_number": "316-644-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 WOODS CHAPEL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641391354",
            "telephone_number": "816-478-4757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2306 Sherwood Dr",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515031048",
            "country_code": "US",
            "telephone_number": "712-322-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "CHESNEY",
        "middle_name": "LEE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "113807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.