Active NPI
Cassie Renee Vaughn, PA-C
- Physician Assistant
- Barbourville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2614
- Practice address
- 215 N Allison Ave
Barbourville, KY 40906-1336 - Phone
- (606) 546-9287
- NPI assigned
- Jan 23, 2020
- Last updated
- Jul 24, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2614 | KY | Primary |
Addresses
Primary practice location
215 N Allison Ave
Barbourville, KY 40906-1336
Mailing address
PO Box 1150
Barbourville, KY 40906-5150
Phone (606) 627-4002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Trillium Way
Corbin, KY 40701-8426
Phone (954) 939-5000
215 N Allison Ave
Barbourville, KY 40906-1336
Phone (606) 546-9287
PO Box
Suite 1150
Barbourville, KY 40906-1336
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2614 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barbourville Family Health Center | Family Medicine | Current | Accepting new patients |
| Barbourville Family Health Center | Family Medicine | Past | Accepting new patients |
Locations
215 N Allison Ave
Barbourville, KY 40906
Phone (606) 546-9287
315 Hospital Dr
Ste 2
Barbourville, KY 40906
Phone (606) 546-4060
140 Bryan Blvd
Corbin, KY 40701
Phone (606) 523-2005
Organizations & group practices 5
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.
-
dba Access Family Health Center
- Rural Health Clinic/Center
- Barbourville, KY
- NPI 1275786071
-
- Emergency Medicine Physician
- Ashland, KY
- NPI 1356848121
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Rural Health Clinic/Center
- Barbourville, KY
- NPI 1801872882
Family Medicine
-
dba Corbin Family Health Center
- Rural Health Clinic/Center
- Corbin, KY
- NPI 1073599056
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Corbin
- General Acute Care Hospital
- Corbin, KY
- NPI 1902865389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1386274850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1150",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409065150",
"telephone_number": "606-627-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N ALLISON AVE",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409061336",
"telephone_number": "606-546-9287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "CASSIE",
"middle_name": "RENEE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-23",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA2614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barbourville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.