Individual provider Active NPI

Melanie Vaughn, NP

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1558952713
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP200002969 Issued in DC
Practice address
801 17TH St NE
Washington, DC 20002-7200
Phone
(443) 878-7530
NPI assigned
Jan 31, 2021
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP200002969 DC Primary

Addresses

Primary practice location

801 17TH St NE
Washington, DC 20002-7200

Mailing address

7114 Long View Rd
Columbia, MD 21044-4232
Phone (443) 878-7530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20220408002338 DC Practitioner - Nurse Practitioner 1254727720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community of Hope, IncGroup PAC ID 5092612762, 54 clinicians

Practice addresses (Care Compare)

2120 Bladensburg Rd NE
Community of Hope FHBC
Washington, DC 20018-1440
Phone (202) 407-7747

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP200002969DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community of Hope Inc. Family CurrentSince Jan 3, 2022 Accepting new patients
Community of Hope, Inc. Family Current Accepting new patients
Community of Hope Inc. CurrentSince Jan 3, 2022 Accepting new patients

Locations

2120 Bladensburg Rd NE
Washington, DC 20018
Phone (202) 407-3080

2155 Champlain St NW
Washington, DC 20009
Phone (202) 407-3080

4 Atlantic St SW
Washington, DC 20032
Phone (202) 407-3080

801 17th St NE
Washington, DC 20002
Phone (202) 398-5520

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1612051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1558952713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 LONG VIEW RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444232",
            "telephone_number": "443-878-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 17TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200027200",
            "telephone_number": "443-878-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "MELANIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-31",
        "last_updated": "2022-01-28",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP200002969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.