Active NPI
Randi C Vaughan, FNP-C
- Family Nurse Practitioner
- Kansas City, KS
National Provider Identifier
1588420962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53-82929-081
- Practice address
- 1333 Meadowlark LN Ste 205
Kansas City, KS 66102-1200 - Phone
- (833) 354-1492
- NPI assigned
- Feb 23, 2024
- Last updated
- Jan 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-82929-081 | KS | Primary |
Addresses
Primary practice location
1333 Meadowlark LN Ste 205
Kansas City, KS 66102-1200
Mailing address
1333 Meadowlark LN Ste 205
Kansas City, KS 66102-1200
Phone (833) 354-1492
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
| License | State | Type | Specialty |
|---|---|---|---|
| 53-82929-081 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trusted Medical LLC | Family | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1588420962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 MEADOWLARK LN STE 205",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661021200",
"telephone_number": "833-354-1492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 MEADOWLARK LN STE 205",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661021200",
"telephone_number": "833-354-1492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "RANDI",
"middle_name": "C",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-23",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-82929-081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.