NPIMap

Individual provider Active NPI

Tracie Vaughan, N.P.

  • Family Nurse Practitioner
  • Christiansburg, VA
National Provider Identifier
1811353261
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173207 Issued in VA
Practice address
120 Akers Farm Rd
Christiansburg, VA 24073-4863
Phone
(540) 382-3440
Fax
(540) 382-7240
NPI assigned
Jan 14, 2016
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024173207 VA Primary

Addresses

Primary practice location

120 Akers Farm Rd
Christiansburg, VA 24073-4863

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5516

Other practice location 1

104 Cranberry Rd
Suite 200B
Galax, VA 24333-2516
Phone (276) 236-5187

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160418001545 VA Practitioner - Nurse Practitioner 0143528562 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians
Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians

Practice addresses (Care Compare)

104 Cranberry Rd
Suite 200B
Galax, VA 24333-0009
Phone (276) 236-5187

110 Akers Farm Rd
Christiansburg, VA 24073-4863
Phone (540) 382-9405

120 Akers Farm Rd
Christiansburg, VA 24073-4863
Phone (540) 382-3440

416 S Main St
Hillsville, VA 24343-1698
Phone (276) 670-3300

6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone (703) 562-2110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024173207VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Twin County Physician Practices LLC CurrentSince Jan 30, 2016 Accepting new patients
DLP Twin County Physician Practices LLC CurrentSince Jan 30, 2016 Accepting new patients
DLP Twin County Physician Practices LLC Current Accepting new patients
Twin County Family Care Centers Inc Past Accepting new patients

Locations

104 Cranberry Rd
Ste 200B
Galax, VA 24333
Phone (276) 236-5187

961 E Stuart Dr
Galax, VA 24333
Phone (276) 236-3931

Interoperability endpoints

  • Direct secure messaging: tracie.vaughan.3@10112.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1811353261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 AKERS FARM RD",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240734863",
            "telephone_number": "540-382-3440",
            "fax_number": "540-382-7240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Cranberry Rd",
            "address_2": "Suite 200B",
            "address_purpose": "LOCATION",
            "city": "Galax",
            "state": "VA",
            "postal_code": "243332516",
            "country_code": "US",
            "telephone_number": "276-236-5187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "TRACIE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

Verify at the official NPI Registry.