Individual provider Active NPI

Dara Vaughan, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lutherville Timonium, MD
National Provider Identifier
1659899185
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AC002221 Issued in MD
Practice address
1925 Greenspring Dr
Lutherville Timonium, MD 21093-4128
Phone
(410) 453-9553
NPI assigned
Sep 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP135005 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC002221 MD Primary

Addresses

Primary practice location

1925 Greenspring Dr
Lutherville Timonium, MD 21093-4128

Mailing address

1925 Greenspring Dr
Lutherville Timonium, MD 21093-4128
Phone (410) 453-9553

Other names 1

  • Dara Lanette Getachew Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180612000577 MD Practitioner - Nurse Practitioner 2769737964 Reassigns benefits to 1 organization
I20180905000478 DC Practitioner - Nurse Practitioner 2769737964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
70.75 of 100Reported as group
Quality
42.65
Promoting interoperability
51
Improvement activities
40
Cost
84.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC002221MDMDPsychiatric/Mental Health Nurse Practitioner
AP135005TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services, Inc Current Accepting new patients
Family Services, Inc. CurrentSince Nov 29, 2024 Accepting new patients
Mosaic Community Services, Inc. Current Accepting new patients
Mosaic Community Services Past Accepting new patients
Mosaic Community Services, Inc Past Accepting new patients
Family Matters of Greater Washington PastSince Jul 7, 2018 Accepting new patients

Locations

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000

1925 Greenspring Dr
Timonium, MD 21093

Organizations & group practices 7

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": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1659899185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 GREENSPRING DR",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210934128",
            "telephone_number": "410-453-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 GREENSPRING DR",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210934128",
            "telephone_number": "410-453-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "DARA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP135005",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC002221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARA",
            "last_name": "GETACHEW",
            "middle_name": "LANETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lutherville Timonium, MD

Sources for this page

Verify at the official NPI Registry.