Individual provider Active NPI

Esli Vaughn, AGACNP-BC

  • Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1447796214
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
21869 Issued in TN
Practice address
2000 Stein Dr
Chattanooga, TN 37421-1690
Phone
(423) 648-8480
Fax
(423) 648-8481
NPI assigned
Jan 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 21869 TN Primary

Addresses

Primary practice location

2000 Stein Dr
Chattanooga, TN 37421-1690

Mailing address

PO Box 197517
Nashville, TN 37219-7517
Phone (423) 648-8480

Other practice location 1

281 N.Lyerly St.
Suite 200
Chattanooga, TN 37404
Phone (423) 698-0850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20170327000292 TN Practitioner - Nurse Practitioner 5294010625 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health CurrentSince Oct 28, 2024 Accepting new patients
Erlanger Health CurrentSince Oct 28, 2024 Accepting new patients
Dennis Clifford Ford MD PastSince Nov 5, 2018 Accepting new patients

Locations

1614 Gunbarrel Rd
#101
Chattanooga, TN 37421
Phone (423) 553-7600

979 E 3rd St
Ste C520
Chattanooga, TN 37403
Phone (423) 778-4465

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

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": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1447796214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 197517",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372197517",
            "telephone_number": "423-648-8480",
            "fax_number": "423-648-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 STEIN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211690",
            "telephone_number": "423-648-8480",
            "fax_number": "423-648-8481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 N.Lyerly St.",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "37404",
            "country_code": "US",
            "telephone_number": "423-698-0850",
            "fax_number": "423-698-0511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "ESLI",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "21869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.