Individual provider Active NPI

Emily Gail Vaughn, M.S. OTR

  • Occupational Therapist
  • Louisville, CO
National Provider Identifier
1740485333
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
227539 Issued in CO
Practice address
1855 Plaza Dr
Louisville, CO 80027-2325
Phone
(303) 520-7734
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 227539 CO Primary

Addresses

Primary practice location

1855 Plaza Dr
Louisville, CO 80027-2325

Mailing address

5546 Lone Eagle CT
Boulder, CO 80301-3544
Phone (303) 520-7734

Other names 1

  • Ms. Emily Gail Schettenhelm Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
227539COMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1740485333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5546 LONE EAGLE CT",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013544",
            "telephone_number": "303-520-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 PLAZA DR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272325",
            "telephone_number": "303-520-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "EMILY",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "M.S. OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "227539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "SCHETTENHELM",
            "middle_name": "GAIL",
            "prefix": "MS.",
            "credential": "MS, OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.