Empowered Pediatrics LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

EMPOWERED PEDIATRICS LLC

Practice address

W229N1433 Westwood Dr Ste 104
Waukesha, WI 53186-1172

Phone

(262) 307-1319

Fax

(855) 857-9099

NPI assigned

Feb 15, 2023

Organization subpart

No

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

Authorized official

Name

Jerrica Vaughan, CPNPNPI 1245768662

Title

Pediatric Nurse Practitioner

Phone

(262) 307-1319

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerrica Brianne Vaughan, CPNP-PC

  • Developmental - Behavioral Pediatrics Physician
  • New Berlin, WI
  • NPI 1245768662
  NPD Authorized official

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1689371049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W229N1433 WESTWOOD DR STE 104",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861172",
            "telephone_number": "262-307-1319",
            "fax_number": "855-857-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W229N1433 WESTWOOD DR STE 104",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861172",
            "telephone_number": "262-307-1319",
            "fax_number": "855-857-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "JERRICA",
        "authorized_official_title_or_position": "PEDIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "262-307-1319",
        "authorized_official_credential": "CPNP"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine L Elmer, RN
• Chantel Else, RN
• Egwe Elvis Akeme
• Emergency Medical Associates LLP
• Empathia, Inc.
• Empowerment Within LLC
• Empyrean Ventures Inc (Ellie Mental Health)
• Ence
• Abigail Ann Endries
• Jeannine M Eng

• Adolescent and Children Mental Health Clinic/Center in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Adolescent and Children Mental Health Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.