JENNIFER M VAUGHN PA NPI 1003802562

Physician Assistant (Medical) in Omaha, NE

Individual Female Physician Assistant Medical

About JENNIFER VAUGHN

Jennifer Vaughn is a provider established in Omaha, Nebraska and her medical specialization is physician assistant. The NPI number of Jennifer Vaughn is 1003802562 and was assigned on September 2005. The practitioner's primary taxonomy code is 363AM0700X with license number 892 (NE). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI

1003802562

Provider Name JENNIFER M VAUGHN PA
Provider Location Address601 N 30TH ST OMAHA, NE 68131
Provider Mailing AddressP.O. BOX 3366-0210 OMAHA, NE 68176
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-21-2005
Last Update Date07-08-2007

Primary Taxonomy

Taxonomy Code363AM0700X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationMedical
License No.892
License StateNE

Business Address

JENNIFER M VAUGHN PA
601 N 30TH ST
OMAHA, NE
ZIP 68131
Phone: (402) 449-4590

Get Directions

Mailing Address

JENNIFER M VAUGHN PA
P.O. BOX 3366-0210
OMAHA, NE
ZIP 68176
Phone: (866) 321-8433

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
P13182MEDICARE UPIN (02)
274577MEDICARE ID-TYPE UNSPECIFIED (04)NE

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023002771OMAHA EMERGENCY PHYSICIANS PC
Organization
Emergency Medicine (Emergency Medical Services)601 N 30TH ST
OMAHA, NE 68131
(402) 449-4590
1033197546DR. GARY N ELSASSER PHARM.D.
Individual
Pharmacist (Pharmacotherapy)601 N 30TH ST SUITE 6720
OMAHA, NE 68131
(402) 280-4176
1053306209 GREGORY R LOYD PA
Individual
Physician Assistant (Medical)601 N 30TH ST
OMAHA, NE 68131
(402) 449-4590
1053385815 WILLIAM G GOSSMAN MD
Individual
Emergency Medicine (Emergency Medical Services)601 N 30TH ST
OMAHA, NE 68131
(402) 449-4590
1073508289DR. JAMES G DICKERSON SR.
Individual
Pharmacist601 N 30TH ST SUITE 2807
OMAHA, NE 68131
(402) 449-4560
1093704926 BRANDY S. REINEKE P.A.
Individual
Physician Assistant (Medical)601 N 30TH ST
OMAHA, NE 68131
(402) 449-4590
1134114424 WESLEY S GRIGSBY MD
Individual
Emergency Medicine (Emergency Medical Services)601 N 30TH ST
OMAHA, NE 68131
(402) 449-4590
1154315141DR. IRMA GAIL DEYLE RP
Individual
Pharmacist601 N 30TH ST SUITE 2807
OMAHA, NE 68131
(402) 449-4560
1265427488 RICHARD E BAILEY III PA
Individual
Physician Assistant (Medical)601 N 30TH ST
OMAHA, NE 68131
(402) 449-4590
1366437642 JAMES J FAYLOR MD
Individual
Emergency Medicine (Emergency Medical Services)601 N 30TH ST
OMAHA, NE 68131
(402) 449-4590
1447245311 ROBERT M HOWELL MD
Individual
Emergency Medicine (Emergency Medical Services)601 N 30TH ST
OMAHA, NE 68131
(402) 449-4590
1558356832 LAURA SUE BAKER PA
Individual
Physician Assistant (Medical)601 N 30TH ST
OMAHA, NE 68131
(402) 449-4590
1598759052DR. SANDRA JO GAU STANISLAV
Individual
Pharmacist601 N 30TH ST SUITE 2807
OMAHA, NE 68131
(402) 449-4560
1619961919DR. RANDY WOBSER
Individual
Obstetrics & Gynecology601 N 30TH ST STE 4000
OMAHA, NE 68131
(402) 280-4434
1659352839DR. EDWARD D. ADICKES D.O.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)601 N 30TH ST
OMAHA, NE 68131
(402) 449-4630
1669458592DR. CHRISTOPHER JOHN DESTACHE SR. PHARM. D.
Individual
601 N 30TH ST SUITE 5800
OMAHA, NE 68131
(402) 280-4269
1811981632 MERLE L. JOHNSON RP
Individual
Pharmacist601 N 30TH ST SUITE 2807
OMAHA, NE 68131
(402) 449-4560
1871588319 CHARLES A BLANKMAN PA
Individual
Physician Assistant (Medical)601 N 30TH ST
OMAHA, NE 68131
(402) 449-4590
1881692903 GALEN M MEYER M.D.
Individual
Specialist601 N 30TH ST SUITE 3700
OMAHA, NE 68131
(402) 280-4505
1992795108 GAIL PAULSON CRNA
Individual
Nurse Anesthetist, Certified Registered601 N 30TH ST
OMAHA, NE 68131
(402) 449-4000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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