ELLEN VAUGHAN (NPI# 1215082680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215082680 |
| Entity Type | Individual |
| Full Name | ELLEN VAUGHAN |
| Credential | FNP |
| Practice Address |
610 N. One Mile Road Dexter MO 63841 |
| Mailing Address |
10492 State Highway Zz Dexter MO 63841 |
| Practice Telephone | 5736243600 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
097001 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171122 | Ellen Vaughan | Psychologist | 201 N Rose Ave Rm 4054, Bloomington, IN 47405-1005 | 2020-07-09 |
| Street Address |
610 N. ONE MILE ROAD |
| City | DEXTER |
| State | MO |
| Zip Code | 63841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558941 | Christa Renee Mcbroom | Pharmacist | 2025 Business Hwy 60w, Dexter, MO 63841 | 2020-11-02 |
| 1306230107 | David Mulcahy | Pharmacist | 904 West Business Hwy 60, Dexter, MO 63841 | 2015-03-19 |
| 1285038935 | Clearwater In-home Care, Inc. | Technician | 1525 Business Highway 60, Suite C, Dexter, MO 63841 | 2014-10-09 |
| 1720404064 | William Simmons | Pharmacist | 904 W Business Highway 60, Dexter, MO 63841 | 2014-03-11 |
| 1134498736 | Susan Caroline Jones | Physical Therapist | 913 West Business Hwy 60, Dexter, MO 63841 | 2011-12-28 |
| 1427350594 | Dexter Hospital LLC | Family Medicine | 2025 W Bus Hwy 60, Dexter, MO 63841 | 2010-11-23 |
| 1992028112 | Hilda Fuwell's Residential Care LLC | Clinic/Center | 900 South One Mile Road, Dexter, MO 63841 | 2010-03-02 |
| 1508197047 | Super D Drugs Acquisition Co | Durable Medical Equipment & Medical Supplies | 907 West Business Hwy. 60, Dexter, MO 63841 | 2010-01-22 |
| 1215262183 | Ozark Wellness & Athletic Club | Physical Therapist | 1521 W Bus. Hwy. 60, Dexter, MO 63841 | 2009-10-12 |
| 1225268618 | Practice Tee, LLC | Family Medicine | 1523 W Business Hwy 60, Dexter, MO 63841 | 2009-07-20 |
| Find all providers in zip 63841 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825862 | Christopher Graham | Nurse Practitioner | 2275 Bass Rd, Dexter, GA 31019-3625 | 2020-09-09 |
| 1811548530 | Taylor Rae Fuwell | Nurse Practitioner | 16973 County Road 624, Dexter, MO 63841-8980 | 2019-09-24 |
| 1790244093 | Caitlin Brooke Roe | Nurse Practitioner | 1007 W Bain St, Dexter, MO 63841-1974 | 2019-03-16 |
| 1013497585 | Julie Anne Bumpus X | Nurse Practitioner | 4848 Gregory, Dexter, MI 48130 | 2018-08-15 |
| 1013293885 | Midway Youth and Family Development Center, Inc | Nurse Practitioner | 75 Yakima Rd, Dexter, NM 88230-9757 | 2011-10-25 |
| 1619274933 | Hollie A Conner | Nurse Practitioner | 911b W Business Hwy 60, Dexter, MO 63841-2741 | 2011-02-23 |
| 1508175472 | Jennifer L. Stephens | Nurse Practitioner | 38843 Dexter Road, Dexter, OR 97431 | 2010-09-27 |
| 1720396674 | Matthew S Moses | Nurse Practitioner | 1300 N One Mile Rd Ste 3, Dexter, MO 63841-1001 | 2010-09-14 |
| 1144853318 | Jennifer Lynn Michaud | Nurse Practitioner | 29 Church St, Dexter, ME 04930-1320 | 2020-02-17 |
| 1255801247 | Kristin Suzanne Wheeler Guethle | Nurse Practitioner | 1200 N One Mile Rd, Dexter, MO 63841-1000 | 2018-12-03 |
| Find all providers in DEXTER | ||||
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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.