Timothy P Vaughn, CRNA, APNP

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2820-33 Issued in WI

Practice address

900 W Clairemont Ave
Eau Claire, WI 54701-6122

Phone

(715) 717-4121

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Independent Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Chippewa Falls, WI
  • NPI 1922316835
  Medicare reassignment NPD
• North American Partners in Anesthesia Wisconsin SC

  • Anesthesiology Physician
  • Eau Claire, WI
  • NPI 1720733454
  NPD

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1871576009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 CLEARWATER RIDGE CT",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547033794",
            "telephone_number": "608-469-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016122",
            "telephone_number": "715-717-4121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2661 County Highway I",
            "address_purpose": "LOCATION",
            "city": "Chippewa Falls",
            "state": "WI",
            "postal_code": "547295407",
            "country_code": "US",
            "telephone_number": "715-723-1811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "TIMOTHY",
        "middle_name": "P",
        "credential": "CRNA, APNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2024-03-28",
        "certification_date": "2022-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "89142030",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "2820-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43309500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Schuyler H. Vangorden II, DDS
• Judy L Vanguilder, SAC IT
• William Quin Vanness
• Emily Vanopdorp, MA, MT-BC
• Parul Vashisth, MD
• Emily Eizabeth Vavra, COTA
• Rathnamitreyee Vegunta, MD
• Pieter Eugene Ver Steeg
• Juan Pablo Vera Gomez, M.D.
• Jessica M Vera Santiago, RN

• Certified Registered Nurse Anesthetist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Certified Registered Nurse Anesthetist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.