AUDREY ELIZABETH VAUGHN I (NPI# 1205986122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205986122 |
| Entity Type | Individual |
| Full Name | AUDREY ELIZABETH VAUGHN I |
| Other Name | AUDREY ELIZABETH STONE |
| Practice Address |
3960 New Covington Pike Memphis TN 38128-2504 |
| Practice Telephone | 9015165320 |
| Practice Fax Number | 9015165099 |
| Mailing Telephone | 9015165320 |
| Mailing Fax Number | 9015165099 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT22789 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 891782500 | 05 |
| Street Address |
3960 NEW COVINGTON PIKE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38128-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881695997 | Joseph A Mixon | Emergency Medicine | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2005-08-10 |
| 1619598174 | Brittany Alys Kellum | Nurse Practitioner | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-05-06 |
| 1306466867 | Ashley Moore | Occupational Therapist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-24 |
| 1124648688 | Janna Fay Knickerbocker | Occupational Therapist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-24 |
| 1184244758 | Elizabeth Janette Roads Upchurch | Speech-Language Pathologist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-23 |
| 1326668948 | Alison Ingles | Speech-Language Pathologist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-23 |
| 1497375018 | Julia Alexandra Seaton | Speech-Language Pathologist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-23 |
| 1902426547 | Sarah Abernethy Mcgrath | Occupational Therapist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-23 |
| 1033739644 | Alexis Potter | Physical Therapist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-23 |
| 1629698261 | Katrina Nicole Walker | Physical Therapy Assistant | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
| 1912545690 | Sherry L. Russell | Technician | 4687 Priscilla Ave, Mmphis, TN 38128 | 2019-12-13 |
| 1518442318 | Genevieve Tempy Thomas | Counselor | 3900 Covington Pike, Suite 107, Memphis, TN 38128 | 2018-09-27 |
| 1487172037 | Right Care Home Health Agency | Home Health | 5116 Raleigh Lagrange Suite 5, Memphis, TN 38128 | 2017-09-05 |
| 1659744555 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 5020 English Towne Drive, Memphis, TN 38128 | 2015-11-02 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| 1194153528 | Jessica Rene Bush | Social Worker | 2922 Covington Pike, Memphis, TN 38128 | 2013-10-22 |
| 1013345685 | Frank Earl Madden Sr. | Non-emergency Medical Transport (VAN) | 4416 E. Hunters Glen St, Memphis, TN 38128 | 2013-10-17 |
| 1902230915 | Jonathan Jeu | Pharmacist | 3500 Ramill Road, Memphis, TN 38128 | 2013-08-27 |
| 1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
| Find all providers in zip 38128 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831227354 | Beth T Michael | Physical Therapist | 4692 Spottswood Ave, Memphis, TN 38117-4822 | 2007-02-28 |
| 1053930727 | Jodi Litolff Yzaguirre | Physical Therapist | 600 Jefferson Ave, Memphis, TN 38105-4934 | 2020-04-13 |
| 1578114799 | Sonia Waites | Physical Therapist | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2019-09-28 |
| 1881036598 | Roberta Lynn Gatlin | Physical Therapist | 930 Madison Ave, Suite Ec013, Memphis, TN 38163-2243 | 2013-07-23 |
| 1386950467 | Sarah M Rose | Physical Therapist | 5469 Southwood Dr, Memphis, TN 38120-1928 | 2010-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356889992 | Konstance Hines | Physical Therapist | 7827 Anna Calla Way, Bartlett, TN 38133-5809 | 2017-02-02 |
| 1659813905 | Kimberly W. Coffey | Physical Therapist | 8350 Mitchell Mill Rd, Ooltewah, TN 37363-6861 | 2016-11-16 |
| 1013461219 | Courtney Jones | Physical Therapist | 101 Glenway Ct, Nashville, TN 37221-3021 | 2016-08-05 |
| 1093129900 | Kimberly Sherman Lee | Physical Therapist | 1045 Spencer Rd, Rock Island, TN 38581 | 2014-06-18 |
| 1508270505 | Continuum Healthcare Staffing LLC | Physical Therapist | 819 Oaklawn Ct, Cookeville, TN 38501-2921 | 2014-06-17 |
| 1649523622 | Melinda Kay Giles | Physical Therapist | 686 Poplar Dr, Mount Juliet, TN 37122-4106 | 2012-10-16 |
| 1710234414 | Pamela Lee Woodside | Physical Therapist | 9720 Mountain Ash Ct, Brentwood, TN 37027-8955 | 2012-08-13 |
| 1306117130 | Linda C Burgess | Physical Therapist | 7370 Forrest Glenn Rd, Fairview, TN 37062-8311 | 2012-01-25 |
| 1497039374 | Lebanon Special School District | Physical Therapist | 507 Coles Ferry Pike, Lebanon, TN 37087-2209 | 2011-10-10 |
| 1952576415 | Bethany Lambert | Physical Therapist | 1880 B General George Patton, #202, Nashville, TN 37067 | 2008-04-25 |
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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.