Active NPI
Bobby Vaughan
- Home Health Agency
- Murfreesboro, NC
National Provider Identifier
1598076606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 103 Moore St
Murfreesboro, NC 27855-1223 - Phone
- (252) 398-4701
- NPI assigned
- Jun 24, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
103 Moore St
Murfreesboro, NC 27855-1223
Mailing address
113 US 158-258
Murfreesboro, NC 27855
Other names 1
- Mrs. Joanna Vaughan
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1598076606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 US 158-258",
"city": "MURFREESBORO",
"state": "NC",
"postal_code": "27855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MOORE ST",
"city": "MURFREESBORO",
"state": "NC",
"postal_code": "278551223",
"telephone_number": "252-398-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "BOBBY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-24",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOANNA",
"last_name": "VAUGHAN",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Murfreesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.