Arnold Kaltreider Vaughn, R.D., L.D., C.D.E.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

119 Issued in WV

Practice address

206 Skylar Dr
Lewisburg, WV 24901-9383

Phone

(681) 318-3540

Fax

(877) 712-1319

NPI assigned

Mar 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern WV Medical and Surgical Specialists PLLCGroup PAC ID 3173810769, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.96 of 100Reported as group

Quality

73.95

Improvement activities

40

Cost

77.93

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23310/brand/1/csg/1/fhir/r4
• Direct secure messaging: arnold.vaughn.1@23310.direct.athenahealth.com

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.

• Southern WV Medical and Surgical Specialists PLLC

  dba Southern WV ENT

  • Otolaryngology Physician
  • Lewisburg, WV
  • NPI 1497103386
  Medicare reassignment Care Compare group NPD
• Colony Drug & Wellness Center Dsme

  • Clinic/Center
  • Beckley, WV
  • NPI 1326382821
  NPD (past) Authorized official

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1598882862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 DAWKINS DR",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019674",
            "telephone_number": "304-793-2336",
            "fax_number": "304-793-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 SKYLAR DR",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019383",
            "telephone_number": "681-318-3540",
            "fax_number": "877-712-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "ARNOLD",
        "middle_name": "KALTREIDER",
        "name_prefix": "Mr.",
        "credential": "R.D., L.D., C.D.E.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WV",
            "license": "119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Health Associates LLC
• James W. Vargo, DDS
• Clayton Atwood Vasey, D.O.
• Linda Schriver Vass
• Marvin K Vaughan
• Cheryl Vess, RN
• Jeri A Via, RN
• Susan E Vlajk, ACSW,LCSW
• Raegan Vorce
• Mark R Waddell, DO

• Registered Dietitian in Lewisburg, WV
• Providers in Lewisburg, WV by specialty
• Registered Dietitian in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.