Individual provider Active NPI

Starr Legene Vaughan

  • Women's Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1396800140
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
231579 Issued in TX
Practice address
7424 Greenville Ave
Suite 206
Dallas, TX 75231-4534
Phone
(214) 363-2004
Fax
(214) 696-2091
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 231579 TX Primary

Addresses

Primary practice location

7424 Greenville Ave
Suite 206
Dallas, TX 75231-4534

Mailing address

7424 Greenville Ave
Suite 206
Dallas, TX 75231-4534
Phone (214) 363-2004

Other identifiers 1

IdentifierTypeStateIssuer
14837301OtherTXTPI

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
231579TXMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1396800140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 GREENVILLE AVE",
            "address_2": "SUITE 206",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314534",
            "telephone_number": "214-363-2004",
            "fax_number": "214-696-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 GREENVILLE AVE",
            "address_2": "SUITE 206",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314534",
            "telephone_number": "214-363-2004",
            "fax_number": "214-696-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "STARR",
        "middle_name": "LEGENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "231579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "14837301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.