Individual provider Active NPI

Vaughn Edward Heyer, RN

  • Emergency Registered Nurse
  • Glendale, WI
National Provider Identifier
1972474013
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
140317-30 Issued in WI
Practice address
134 W Fox Dale CT
Glendale, WI 53217-3992
Phone
(262) 243-7373
NPI assigned
Sep 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 140317-30 WI Primary

Addresses

Primary practice location

134 W Fox Dale CT
Glendale, WI 53217-3992

Mailing address

134 W Fox Dale CT
Glendale, WI 53217-3992
Phone (262) 243-7373

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
140317-30WIMDEmergency Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1972474013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 W FOX DALE CT",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173992",
            "telephone_number": "262-243-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W FOX DALE CT",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173992",
            "telephone_number": "262-243-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYER",
        "first_name": "VAUGHN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "WI",
            "license": "140317-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.