Individual provider Active NPI

Yolanda Huet-Vaughn, M.D.

  • Family Medicine Physician
  • Kansas City, KS
National Provider Identifier
1467543017
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0419814 Issued in KS
Practice address
3200 Strong Ave
Kansas City, KS 66106-2116
Phone
(913) 262-0550
Fax
(913) 381-3048
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0419814 KS Primary

Addresses

Primary practice location

3200 Strong Ave
Kansas City, KS 66106-2116

Mailing address

3200 Strong Ave
Kansas City, KS 66106-2116
Phone (913) 262-0550

Other identifiers 4

IdentifierTypeStateIssuer
322700OtherKSFIRST GUARD
201368826MedicaidMO
100177750BMedicaidKS
09262071OtherMOBCBS - KANSAS CITY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051205000810 KS Practitioner - Family PracticePractitioner - Cardiovascular Disease (Cardiology) 1658343991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yolanda Huet-Vaughn, M.D., P.a.Group PAC ID 9032181375, 2 clinicians

Practice addresses (Care Compare)

3200 Strong Ave
Kansas City, KS 66106-2116
Phone (913) 262-0550

Hospital & facility affiliations

  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0419814KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yolanda Huet-Vaughn, M.D., P.a. Family Medicine CurrentSince Dec 20, 2002 Accepting new patients
Jefferson County Memorial Hospital, Inc CurrentSince Jun 9, 2010 Accepting new patients
Jefferson County Memorial Hospital CurrentSince Jun 9, 2010 Accepting new patients
Mercy Kansas Communities Inc Past Accepting new patients
Sleepcair Past Accepting new patients

Locations

3200 Strong Ave
Kansas City, KS 66106
Phone (913) 262-0550

408 Delaware St
Winchester, KS 66097
Phone (844) 536-9449

8701 Troost Ave
Kansas City, MO 64131
Phone (816) 363-8100

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303430400000",
    "number": "1467543017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 STRONG AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661062116",
            "telephone_number": "913-262-0550",
            "fax_number": "913-381-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 STRONG AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661062116",
            "telephone_number": "913-262-0550",
            "fax_number": "913-381-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUET-VAUGHN",
        "first_name": "YOLANDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0419814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST GUARD",
            "identifier": "322700",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201368826",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100177750B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - KANSAS CITY",
            "identifier": "09262071",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.