Shae Lavon Vaughn, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP131984 Issued in TX

Practice address

309 Lake Rd Ste a
Belton, TX 76513-1513

Phone

(254) 933-5600

Fax

(254) 933-5605

NPI assigned

Aug 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Shae Lavon Vaughn Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: svaughn75241@direct.sw.org
• Direct secure messaging: shae.vaughn.1@28386.direct.athenahealth.com

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.

• Jonathan Larson MD PC

  • Adult Health Nurse Practitioner
  • Columbus, OH
  • NPI 1487334843

  TX

  Medicare reassignment NPD
• Central Texas Holistic Care PLLC

  • Family Nurse Practitioner
  • Killeen, TX
  • NPI 1568295616

  Family

  NPD (past)

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1841745643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 LAKE RD STE A",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765131513",
            "telephone_number": "254-933-5600",
            "fax_number": "254-933-5605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2719 S El Camino Real",
            "address_purpose": "LOCATION",
            "city": "San Clemente",
            "state": "CA",
            "postal_code": "926723354",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "SHAE",
        "middle_name": "LAVON",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "svaughn75241@direct.sw.org",
            "affiliation": "N",
            "address_1": "309 Lake Rd Ste A",
            "city": "Belton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765131513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHAE",
            "last_name": "VAUGHN",
            "middle_name": "LAVON",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kayleigh Ussery, RBT
• Monica Marie Vahue, LVN
• Valsa Patric Muringathuparambil
• Amanda Vander Vorste, SLP
• Mihaela Vasile
• Karen Vazquez
• Lisa Velasco-Fierro
• Ana Verdin
• Thu P Vo, DO
• Richard Lee Voigtel, DDS

• All providers in Belton, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.