Individual provider Active NPI

Javauna Vaughn

  • Physician Assistant
  • Tempe, AZ
National Provider Identifier
1396586715
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11381 Issued in AZ
Practice address
2145 E Baseline Rd Ste 101
Tempe, AZ 85283-1546
Phone
(623) 229-6545
NPI assigned
Jun 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11381 AZ Primary

Addresses

Primary practice location

2145 E Baseline Rd Ste 101
Tempe, AZ 85283-1546

Mailing address

5850 E Still Cir
Mesa, AZ 85206-3618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20251202001959 AZ Practitioner - Physician Assistant 4789177411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians
Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

2122 N Scottsdale Rd
Scottsdale, AZ 85257-2123
Phone (480) 889-3570

2149 E Warner Rd
Suite 101
Tempe, AZ 85284-3495
Phone (480) 610-6100

535 E McKellips Rd
Suite 101
Mesa, AZ 85203-2525
Phone (480) 844-7400

600 S Dobson Rd
Suite C26
Chandler, AZ 85224-5690
Phone (480) 814-1560

835 N Gilbert Rd
Suite 101
Gilbert, AZ 85234-3372
Phone (480) 353-2210

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
11381AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Kidney Institute, PLC CurrentSince Dec 1, 2025 Accepting new patients
Southwest Kidney Institute, PLC CurrentSince Dec 1, 2025 Accepting new patients
Nextcare Arizona I JV LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

1701 E Thomas Rd
Ste A104
Phoenix, AZ 85016
Phone (602) 845-4445

9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235

2149 E Warner Rd
Ste 101
Tempe, AZ 85284
Phone (480) 610-6111

2145 E Baseline Rd
Ste 101
Tempe, AZ 85283
Phone (480) 498-4058

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

Interoperability endpoints

  • Direct secure messaging: javauna.vaughn.1@2697.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": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1396586715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 E STILL CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 E BASELINE RD STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831546",
            "telephone_number": "623-229-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "JAVAUNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "11381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.