Krista Vaughan, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31004498A Issued in IN

Practice address

3320 N Clinton St
Fort Wayne, IN 46805-1918

Phone

(260) 483-2100

Fax

(260) 484-5059

NPI assigned

Oct 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

81.85 of 100Reported as group

Quality

59.71

Promoting interoperability

90

Improvement activities

40

Cost

88.11

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Orthopedic and Sports Medicine Center of Northern Indiana, Inc

  dba Osmc

  • Orthopaedic Surgery Physician
  • Elkhart, IN
  • NPI 1710085253
  NPD
• Orthopedic and Sports Medicine Center of Northern Indiana, Inc

  dba Osmc

  • Durable Medical Equipment & Medical Supplies
  • Granger, IN
  • NPI 1962170357
  NPD
• ASC Surgical Ventures, LLC

  dba OSMC Outpatient Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Elkhart, IN
  • NPI 1083715148
  NPD (past)

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1649459108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 N CLINTON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468051918",
            "telephone_number": "260-483-2100",
            "fax_number": "260-484-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N CLINTON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468051918",
            "telephone_number": "260-483-2100",
            "fax_number": "260-484-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "KRISTA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004498A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200868170",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000530791",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Vargo
• Isabel Faye Varner
• Tiffany Vasquez- Londa
• Mariah Vasquez, PHARMD
• Alison Nicol Vaughan, OTD
• Deanna Lynn Vaughn, NP
• Mekayla Vaughn, RBT
• Storm Bradley Vaughn, AA
• Veronica A Vaughn, MSW, LCSW
• Kevin Alton Vaught, MD

• Occupational Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.