Active NPI
Victoria Reynolds-Vaughn, DO
- Emergency Medicine Physician
- Tulsa, OK
National Provider Identifier
1386105294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 7032
- Practice address
- 744 W 9TH St
Tulsa, OK 74127-9020 - Phone
- (918) 599-1000
- NPI assigned
- Mar 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OK | ||
| Emergency Medicine Physician | 207P00000X | 7032 | OK | Primary |
Addresses
Primary practice location
744 W 9TH St
Tulsa, OK 74127-9020
Mailing address
11850 S 4260 Rd
Chelsea, OK 74016-5557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adair County Health Center,Inc. | Current | Accepting new patients | |
| Adair County Health Center, Inc. | Current | Accepting new patients | |
| Adair County Health Center, Inc. | Current | Accepting new patients |
Locations
1401 W Locust St
Stilwell, OK 74960
Phone (918) 696-3101
Interoperability endpoints
- vreynoldsvaughn213566@direct.integrisok.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.
-
dba Memorial Hospital
- Medical Specialty Clinic/Center
- Stilwell, OK
- NPI 1972780765
-
dba Memorial Hospital
- Rural Acute Care Hospital
- Stilwell, OK
- NPI 1790753358
-
dba Physicians Clinic
- Family Medicine Physician
- Stilwell, OK
- NPI 1326017492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1386105294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11850 S 4260 RD",
"city": "CHELSEA",
"state": "OK",
"postal_code": "740165557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 W 9TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741279020",
"telephone_number": "918-599-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS-VAUGHN",
"first_name": "VICTORIA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OK",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "7032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.