Individual provider Active NPI

Lesley N Vaughn, APRN

  • Nurse Practitioner
  • Barbourville, KY
National Provider Identifier
1780875666
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3005258 Issued in KY
Practice address
215 N Allison Ave
Barbourville, KY 40906-1336
Phone
(606) 546-9287
Fax
(606) 546-9363
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3005258 KY Primary

Addresses

Primary practice location

215 N Allison Ave
Barbourville, KY 40906-1336

Mailing address

215 N Allison Ave
Barbourville, KY 40906-1336
Phone (606) 546-9287

Other identifiers 1

IdentifierTypeStateIssuer
7100031320MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20071102000134 KY Practitioner - Nurse Practitioner 7911094255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barbourville Family Health CenterGroup PAC ID 7416867387, 30 clinicians

Practice addresses (Care Compare)

315 Hospital Dr
Suite 2
Barbourville, KY 40906-7917
Phone (606) 546-4060

Hospital & facility affiliations

  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barbourville Family Health Center CurrentSince Mar 29, 2010 Accepting new patients
Barbourville Family Health Center Current Accepting new patients
Barbourville Family Health Center CurrentSince Mar 29, 2010 Accepting new patients
Family Health Care Associates of Kentucky, Inc. Nurse Practitioner Past Accepting new patients
Baptist Health Medical Group, Inc. Nurse Practitioner Past Accepting new patients
Family Health Care Associates Rural Clinic of Corbin PLLC Past Accepting new patients

Locations

315 Hospital Dr
Ste 2
Barbourville, KY 40906
Phone (606) 546-4060

215 N Allison Ave
Barbourville, KY 40906
Phone (606) 546-4166

140 Bryan Blvd
Corbin, KY 40701
Phone (606) 523-2005

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1780875666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N ALLISON AVE",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409061336",
            "telephone_number": "606-546-9287",
            "fax_number": "606-546-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N ALLISON AVE",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409061336",
            "telephone_number": "606-546-9287",
            "fax_number": "606-546-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "LESLEY",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3005258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100031320",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barbourville, KY

Sources for this page

Verify at the official NPI Registry.