Active NPI
Jeff Vaughan
- Social Worker
- Spring, TX
National Provider Identifier
1871786434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 8111 Cypresswood Dr Ste 102
Spring, TX 77379-7180 - Phone
- (281) 376-3900
- NPI assigned
- Aug 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
8111 Cypresswood Dr Ste 102
Spring, TX 77379-7180
Mailing address
5518 Rivertree LN
Spring, TX 77379-6054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21165 | Other | TX | LICENSE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188172800000",
"number": "1871786434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5518 RIVERTREE LN",
"city": "SPRING",
"state": "TX",
"postal_code": "773796054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8111 CYPRESSWOOD DR STE 102",
"city": "SPRING",
"state": "TX",
"postal_code": "773797180",
"telephone_number": "281-376-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "JEFF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-27",
"last_updated": "2007-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "21165",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.