Individual provider Active NPI

Valecia Carter Vaughn, PHD, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Opelousas, LA
National Provider Identifier
1811339591
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7230 Issued in LA
Practice address
8762 Hwy 162
Opelousas, LA 70590
Phone
(337) 945-2005
NPI assigned
Jul 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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 7230 LA Primary
Community Health/Public Health Clinical Nurse Specialist 364SC1501X AP07230 LA

Addresses

Primary practice location

8762 Hwy 162
Opelousas, LA 70590

Mailing address

42410 Weber City Rd
Gonzales, LA 70737-7725
Phone (504) 460-7510

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150122001939 LA Practitioner - Nurse Practitioner 2668796673 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AP07230LAMDCommunity Health/Public Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
South Central la Human Services Authority CurrentSince Mar 9, 2020 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
South Central la Human Services Authority CurrentSince Mar 9, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 22, 2018 Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 22, 2018 Accepting new patients
South Central la Human Services Authority Current Accepting new patients

Locations

158 Regal Row
Houma, LA 70360
Phone (985) 876-8889

1809 W Airline Hwy
La Place, LA 70068
Phone (985) 652-8444

157 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 537-6823

120 Ochsner Blvd
Terrytown, LA 70056
Phone (504) 391-8857

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJJCA

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.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1811339591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42410 WEBER CITY RD",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707377725",
            "telephone_number": "504-460-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8762 HWY 162",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "70590",
            "telephone_number": "337-945-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "VALECIA",
        "middle_name": "CARTER",
        "credential": "PHD, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "7230",
            "primary": true
        },
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "LA",
            "license": "AP07230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.