Individual provider Active NPI

Jordan Vaughn

  • Emergency Medicine Physician
  • New Orleans, LA
National Provider Identifier
1790245249
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
331551 Issued in LA
Practice address
2001 Tulane Ave FL 2
New Orleans, LA 70112-2249
Phone
(504) 702-2287
NPI assigned
Mar 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 331551 LA Primary

Addresses

Primary practice location

2001 Tulane Ave FL 2
New Orleans, LA 70112-2249

Mailing address

2001 Tulane Ave FL 2
New Orleans, LA 70112-2249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230715000075 LA Practitioner - Emergency Medicine 6305172529 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Rochester School of Medicine and Dentistry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Van Meter Emergency Physicians Inc. ApmcGroup PAC ID 4981761590, 26 clinicians

Practice addresses (Care Compare)

52579 Hwy 51 S
Independence, LA 70443-2231
Phone (504) 878-9421

Hospital & facility affiliations

  • University Medical Center New Orleans Hospital, New Orleans, LA, CCN 190005
  • Lallie Kemp Medical Center Hospital, Independence, LA, CCN 191321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Van Meter Emergency Physicians Inc. Apmc Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Children'S Hospital CurrentSince Feb 1, 2025 Accepting new patients
Children'S Hospital Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients

Locations

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349

4545 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 896-9822

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

Organizations & group practices 4

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 3

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1790245249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 TULANE AVE FL 2",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 TULANE AVE FL 2",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122249",
            "telephone_number": "504-702-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "331551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.