Active NPI
Marissa Vaughn, RRA, RPA
- Radiology Practitioner Assistant
- Cary, NC
National Provider Identifier
1972046589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Practitioner Assistant
- License
- 16RRANC1002
- Practice address
- 400 Ashville Ave
Ste 330
Cary, NC 27518-6134 - Phone
- (919) 371-2371
- NPI assigned
- Nov 30, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Radiology Practitioner Assistant | 243U00000X | 16RRANC1002 | NC | Primary |
Addresses
Primary practice location
400 Ashville Ave
Ste 330
Cary, NC 27518-6134
Mailing address
400 Ashville Ave
Ste 330
Cary, NC 27518-6134
Phone (919) 371-2371
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16RRANC1002 | NC | MD | Radiology Practitioner Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1972046589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 ASHVILLE AVE",
"address_2": "STE 330",
"city": "CARY",
"state": "NC",
"postal_code": "275186134",
"telephone_number": "919-371-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 ASHVILLE AVE",
"address_2": "STE 330",
"city": "CARY",
"state": "NC",
"postal_code": "275186134",
"telephone_number": "919-371-2371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "MARISSA",
"credential": "RRA, RPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-30",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "243U00000X",
"taxonomy_group": "",
"desc": "Radiology Practitioner Assistant",
"state": "NC",
"license": "16RRANC1002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.