Stephanie Vaughn-Gray

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN60126273 Issued in WA

Practice address

12310 E Mirabeau Pkwy Ste 500
Spokane Valley, WA 99216-2259

Phone

(509) 473-4900

NPI assigned

Dec 13, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1417764366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12310 E MIRABEAU PKWY STE 500",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162259",
            "telephone_number": "509-473-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12310 E MIRABEAU PKWY STE 500",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162259",
            "telephone_number": "509-473-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN-GRAY",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WA",
            "license": "RN60126273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Van Elsberg, LMHCA
• Tamara Lynn Vanagtmael, RN
• Tiffany Ann Vanderpool, LMP
• Patricia W Vanderwilde, CRNA
• Alex Eugene Vanorden
• Jessica Rae Vaughn
• Shana M Vaughn, PHARMD
• Pamela J Vecchio, F.N.P.
• Veda Living Spokane Cataldo LLC
• Gizela Vega

• Home Health Registered Nurse in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Home Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.