Individual provider Active NPI

Daniel Vaught, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Pueblo West, CO
National Provider Identifier
1609282482
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0991165-NP Issued in CO
Practice address
1216 N Rising Sun PL
Pueblo West, CO 81007-2851
Phone
(719) 229-4367
NPI assigned
Jul 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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 APN.0991165-NP CO Primary

Addresses

Primary practice location

1216 N Rising Sun PL
Pueblo West, CO 81007-2851

Mailing address

1216 N Rising Sun PL
Pueblo West, CO 81007-2851
Phone (719) 229-4367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220131001848 CO Practitioner - Nurse Practitioner 1759629504 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0991165-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Medicine Specialists PC CurrentSince Dec 28, 2021 Accepting new patients
Family Medicine Specialists, Inc Current Accepting new patients

Locations

1225 N Grand Ave
Pueblo, CO 81003
Phone (719) 544-5600

1225 N Grand Ave
Ste 100
Pueblo, CO 81003
Phone (719) 544-5600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1609282482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 N RISING SUN PL",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810072851",
            "telephone_number": "719-229-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 N RISING SUN PL",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810072851",
            "telephone_number": "719-229-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHT",
        "first_name": "DANIEL",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0991165-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo West, CO

Sources for this page

Verify at the official NPI Registry.