Christine Ann Vaughan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2020029683 Issued in MO

Practice address

714 Gravois Rd
Ste 200
Fenton, MO 63026-7766

Phone

(636) 349-5437

Fax

(636) 349-6663

NPI assigned

Nov 2, 2015

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

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

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.

• Wuca-Fenton Pediatrics, LLC

  • Multi-Specialty Clinic/Center
  • Fenton, MO
  • NPI 1760953095
  Medicare reassignment NPD

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1871966796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412053",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742053",
            "telephone_number": "636-349-5437",
            "fax_number": "636-349-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 GRAVOIS RD",
            "address_2": "STE 200",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630267766",
            "telephone_number": "636-349-5437",
            "fax_number": "636-349-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2025-04-17",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020029683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420090531",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "714 Gravois Rd",
            "address_2": "Ste 200",
            "city": "Fenton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630267766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• US Medgroup of Kansas PA
• Usrc Fenton LLC
• Suman Vaddi, M.D.
• Brandon Valerio
• Linda K Varadachari
• Janani Vigneswaran, MD, MPH
• Wilka Yaneth Vincent, R.D., L.D.
• Cynthia Visintine, FNP
• Vital Hospital Systems, Inc
• Lori Vitello

• Family Nurse Practitioner in Fenton, MO
• Providers in Fenton, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.