JUSTIN T VAUGHN


Address: 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-0001
Phone: 2539681110

JUSTIN T VAUGHN (NPI# 1568412096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568412096
Entity Type Individual
Full Name JUSTIN T VAUGHN
Credential CRNA
Practice Address 9040 Jackson Ave Madigan Army Medical Center
Tacoma
WA 98431-0001
Mailing Address Madigan Army Medical Ctr
9040 A Reid St
Tacoma
WA 98431-0001
Practice Telephone 2539681110
Mailing Telephone 2539681110
Enumeration Date 2006-05-12
Last Update Date 2019-08-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WG0000X Registered Nurse
Specialization: General Practice
RN00162696 WA Nursing Service Providers
Y 367500000X Nurse Anesthetist, Certified Registered AP300007207 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA L&I 0039515 01
WA INDIVIDUAL BLUE SHIELD 3350VA 01

Other Providers JUSTIN VAUGHN

NPI Name Taxonomy Address Enumeration
1265788061 Justin Colt Vaughn Case Manager/Care Coordinator 1570 Waverly Rd, Kingsport, TN 37664-2523 2012-07-30

Office Location

Street Address 9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
City TACOMA
State WA
Zip Code 98431-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386641694 Muhammad Ayub Family Medicine 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-0001 2005-06-30
1699399659 Haywood Maurice Mcrae Social Worker 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-0001 2020-06-04
1710490677 Layne Jensen Registered Nurse 9040 Jackson Ave Madigan Army Medical Center, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 2017-11-14
1437679636 Michael John Zylstra General Practice 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-5001 2017-06-20
1033666581 Diana Monzon Registered Nurse 9040 Jackson Ave Madigan Army Medical Center, Attn: Mchj-clq-c, Tacoma, WA 98413-1100 2016-09-01
1639541717 Justin Schafer Physician Assistant 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-0001 2015-10-28
1164768008 Kelly Avant Physical Therapist 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-0001 2012-12-21
1013270180 Nichole Lynn Mogharreban Psychologist 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-0001 2012-06-22
1891058145 Kristopher M Peters Dermatology 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-4613 2012-06-21
1992066765 Matthew Steven Reece Anesthesiology 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-5001 2012-06-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497212260 Catrina Renee Grugin Registered Nurse Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 2019-02-27
1801307681 Bianca Gomez Dental Assistant Bldg 9900 Lincoln Street, Jblm, WA 98431 2017-10-19
1184133225 Darren Paris Registered Nurse Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 2017-09-20
1922538206 Sarah Frerichs Dentist Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 2017-06-19
1740736495 Misty Hill Dental Assistant 9119 Mill Park Ave, Tacoma, WA 98431 2016-08-31
1336695535 Jacqueline D Massouda Dentist Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 2016-08-28
1609239375 Gregg V Palmer Licensed Practical Nurse 17th and C Street, Bldg 11582, Tacoma, WA 98431 2016-03-31
1114323904 Deanna Sheets Nurse Practitioner 911 Mil Park Ave, Tacoma, WA 98431 2014-11-06
1679905434 Austin William Schaar Dentist Building 9900, 2nd Floor, Tacoma, WA 98431 2013-08-05
1518209758 Maurice Ibrahim Khayat Internal Medicine 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 2013-03-26
Find all providers in zip 98431

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316296775 Nicholas Allan Kroll Nurse Anesthetist, Certified Registered 9040 Jackson Ave Credentials Office, Tacoma, WA 98431-2664 2012-08-31
1619272119 Connie E. Jensen Pllc Nurse Anesthetist, Certified Registered 502 S M St Ste 200, Tacoma, WA 98405-3728 2011-01-14
1588975791 Celeste Marie Hebert Nurse Anesthetist, Certified Registered 4907 162nd Street Ct E, Tacoma, WA 98446-3823 2010-06-23
1861654923 Sound Anesthesia, LLP Nurse Anesthetist, Certified Registered 1112 6th Ave Ste 100, Tacoma, WA 98405-4048 2008-06-30
1346401833 Robert Matt Cline Nurse Anesthetist, Certified Registered 3209s 23rd St 340, Tacoma, WA 98405-1602 2008-06-18
1013117837 Douglas L Raber, Crna, Ps Nurse Anesthetist, Certified Registered 4165 Augusta Dr Ne, Tacoma, WA 98422-4751 2007-07-19
1780754945 United States Army Nurse Anesthetist, Certified Registered 1814 Beacon Ct Ne, Tacoma, WA 98422-3469 2006-11-08
1043313927 Melissa Alsbergas Nurse Anesthetist, Certified Registered 3209 S 23rd St Ste 240, Tacoma, WA 98405 2006-09-06
1598701328 David Charles Joss Nurse Anesthetist, Certified Registered 9040 Jackson Ave Madigan Army Medical Center Bldg 9040, Tacoma, WA 98431-0001 2006-06-21
1760430151 Amy M Nielsen Nurse Anesthetist, Certified Registered 3209 S 23rd St Ste 340, Tacoma, WA 98405 2006-05-05
Find all providers in TACOMA

Competitor

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City TACOMA
Zip Code 98431

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Dataset Information

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.

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