KELLIE VAUGHN (NPI# 1245705698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245705698 |
| Entity Type | Individual |
| Full Name | KELLIE VAUGHN |
| Credential | CRNP |
| Practice Address |
1109 Townhouse Rd Helena AL 35080-4012 |
| Mailing Address |
109 Meadow View Cir Pelham AL 35124-1984 |
| Practice Telephone | 2056218677 |
| Mailing Telephone | 2056571630 |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1-139342 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1109 TOWNHOUSE RD |
| City | HELENA |
| State | AL |
| Zip Code | 35080-4012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366608408 | Jacqueline Moore Devine | Counselor | 1109 Townhouse Rd, Helena, AL 35080-4012 | 2008-07-29 |
| 1013562545 | Meagan Carson | Registered Nurse | 1109 Townhouse Rd, Helena, AL 35080-4012 | 2019-08-01 |
| 1386110468 | Robert Crowell | Registered Nurse | 1109 Townhouse Rd, Helena, AL 35080-4012 | 2018-10-16 |
| 1992231229 | Rachel Hutchinson | Nurse Practitioner | 1109 Townhouse Rd, Helena, AL 35080-4012 | 2017-05-05 |
| 1487189965 | Brittany Cockrum | Counselor | 1109 Townhouse Rd, Helena, AL 35080-4012 | 2017-04-21 |
| 1780134593 | Anthony Phillips | Nurse Practitioner | 1109 Townhouse Rd, Helena, AL 35080-4012 | 2016-10-05 |
| 1871042226 | Logan Mendheim | Nurse Practitioner | 1109 Townhouse Rd, Helena, AL 35080-4012 | 2016-09-27 |
| 1467836700 | Jacqueline M Devine Lpc LLC | Counselor | 1109 Townhouse Rd, Helena, AL 35080-4012 | 2015-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528627171 | Karmel Laurene Mayo | Counselor | 5140 Co. Rd. 17, Helena, AL 35080 | 2019-06-07 |
| 1578016531 | Therapy South Helena LLC | Physical Therapist | 4690 Highway 17, Helena, AL 35080 | 2016-07-26 |
| 1871998690 | Michelle Puckett Ot LLC | Home Health | 246 Chadwick Lane, Helena, AL 35080 | 2014-10-23 |
| 1376942060 | Ester Mae Graham | Registered Nurse | 520 Fieldstone Drive, Helena, AL 35080 | 2014-08-19 |
| 1497872782 | Ernies Pharmacy Inc | Pharmacy | 5135 C Hwy 17, Helena, AL 35080 | 2007-03-23 |
| 1790825263 | Elizabeth B. Dorough | Occupational Therapist | 2022 English Oak Lane, Helena, AL 35080 | 2007-02-07 |
| 1831247931 | Gholamabbas Ascarzadeh | Dentist | 3397 Helena Rd., Helena, AL 35080 | 2007-01-08 |
| 1285782201 | Abbas Family Dentistry Inc | Dentist | 3397 Helena Road, Box 617, Helena, AL 35080 | 2007-01-08 |
| 1649352915 | Sherry L Vacarella | Pharmacist | 335 Helena Marketplace, Helena, AL 35080 | 2006-10-19 |
| 1598872715 | Tracy L Mayfield | Dentist | 215 Village Parkway, Helena, AL 35080 | 2006-08-24 |
| Find all providers in zip 35080 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255992129 | Huston Psychiatric Services LLC | Nurse Practitioner | 1806 11th Ave, Helena, MT 59601-4768 | 2019-06-21 |
| 1063827202 | Susan Depasquale | Nurse Practitioner | 730 Hauser Blvd, Helena, MT 59601-2627 | 2014-06-26 |
| 1629611785 | John Brewer | Nurse Practitioner | 2755 Colonial Dr, Helena, MT 59601-4926 | 2019-10-22 |
| 1922650290 | Jennifer L Mcanally | Nurse Practitioner | 1125 Missoula Ave, Ste B, Helena, MT 59601-3830 | 2019-07-16 |
| 1215589403 | Hemion, LLC | Nurse Practitioner | 825 Helena Ave, Helena, MT 59601-3459 | 2019-07-09 |
| 1992231229 | Rachel Hutchinson | Nurse Practitioner | 1109 Townhouse Rd, Helena, AL 35080-4012 | 2017-05-05 |
| 1780134593 | Anthony Phillips | Nurse Practitioner | 1109 Townhouse Rd, Helena, AL 35080-4012 | 2016-10-05 |
| 1871042226 | Logan Mendheim | Nurse Practitioner | 1109 Townhouse Rd, Helena, AL 35080-4012 | 2016-09-27 |
| 1700254935 | Erin Marie Huston | Nurse Practitioner | 2475 E Broadway St, Helena, MT 59601-4928 | 2015-09-03 |
| 1649685819 | Joey Nichole Larue | Nurse Practitioner | 3240 Dredge Dr, Helena, MT 59602-0548 | 2014-06-26 |
| Find all providers in HELENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.