Individual provider Active NPI

Karen Vaughan

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1376022376
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-104585 Issued in AL
Practice address
2119 E South Blvd Ste 200
Montgomery, AL 36116-2496
Phone
(334) 747-7070
NPI assigned
Aug 9, 2018
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-104585 AL Primary
Registered Nurse 163W00000X 1-104585 AL

Addresses

Primary practice location

2119 E South Blvd Ste 200
Montgomery, AL 36116-2496

Mailing address

301 Brown Springs Rd
Montgomery, AL 36117-7005

Other practice location 1

400 Taylor Rd
Montgomery, AL 36117-3512
Phone (334) 277-8330

Other practice location 2

2034 Chestnut St
Montgomery, AL 36106-1111
Phone (334) 269-0212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20180928000595 AL Practitioner - Nurse Practitioner 0648521781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Kidney Specialists LLPGroup PAC ID 0345220224, 10 clinicians

Practice addresses (Care Compare)

2034 Chestnut St
Montgomery, AL 36106-1111
Phone (334) 269-0212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-104585ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Kidney Specialists, LLP CurrentSince Feb 1, 2020 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Nov 1, 2018 Accepting new patients

Locations

2034 Chestnut St
Montgomery, AL 36106
Phone (205) 269-0212

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1376022376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BROWN SPRINGS RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 E SOUTH BLVD STE 200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162496",
            "telephone_number": "334-747-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Taylor Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361173512",
            "country_code": "US",
            "telephone_number": "334-277-8330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2034 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361061111",
            "country_code": "US",
            "telephone_number": "334-269-0212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-104585",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-104585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.