Tiffany Vaughan

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR2030 Issued in AR

Practice address

1500 Wilson Loop
Ward, AR 72176

Phone

(501) 941-5630

NPI assigned

Feb 26, 2007

Last updated

Aug 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• University of Central Arkansas

  • Family Medicine Physician
  • Conway, AR
  • NPI 1912543240
  Medicare reassignment NPD
• University of Central Arkansas

  • Speech-Language Pathologist
  • Conway, AR
  • NPI 1184387540

  Occupational Therapist

  NPD
• University of Central Arkansas

  • Physical Therapist
  • Conway, AR
  • NPI 1790439602

  Occupational Therapist

  NPD
• Allied Therapy and Consulting Services, PA

  • Specialist
  • North Little Rock, AR
  • NPI 1134185937
  NPD (past)
• Milestones Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Conway, AR
  • NPI 1366522039
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1861528358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WILSON LOOP",
            "city": "WARD",
            "state": "AR",
            "postal_code": "721768656",
            "telephone_number": "501-588-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WILSON LOOP",
            "city": "WARD",
            "state": "AR",
            "postal_code": "72176",
            "telephone_number": "501-941-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "5Y668",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159501721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitsy Thames, PTA
• Caleb Casey Tolbert
• Beth Anne Travis, PT, DPT
• Kelly Truby
• Donna Vanhemert
• Kari Walden, COTA
• Misty Walthall, RN
• Brad Thomas Westbrook
• Brooke White
• Kele Elizabeth Wilson

• Occupational Therapist in Ward, AR
• Providers in Ward, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.