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JEREME T. VAUGHAN
NPI 1346894789
Counselor - Addiction (Substance Use Disorder) in Fairbanks, AK

Active since July 24, 2019
4880 OLD AIRPORT RD, FAIRBANKS, AK 99709(907) 313-1333 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2025, Jul 24, 2019 (2 updates tracked since 2019).

About Jereme T. Vaughan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREME T. VAUGHAN (NPI 1346894789) is an individual addiction (substance use disorder) provider in Fairbanks, Alaska and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1346894789
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEREME T. VAUGHAN
Location Address4880 OLD AIRPORT RDFairbanks, AK 99709-4456
Mailing Address4880 Old Airport RdFairbanks, AK 99709-4456 · (907) 313-1333
Phone(907) 313-1333
Sole ProprietorYes
Enumeration DateJuly 24, 2019
Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1346894789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
4880 OLD AIRPORT RD, Fairbanks, AK 99709
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDY RENE ARELLANO
Case Manager/Care Coordinator
4880 OLD AIRPORT RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 313-1333
CANDICE G GRANT-GRAY
Peer Specialist
4880 OLD AIRPORT RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 313-1333
TRUE NORTH RECOVERY INC
Community/Behavioral Health
4880 OLD AIRPORT RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 313-1333
SRESHTHA BHATTACHARYA
Peer Specialist
4880 OLD AIRPORT RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 313-1333
TIMOTHY KNUDSON
Peer Specialist
4880 OLD AIRPORT RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 313-1333
HOLLIE ANN JOHNSON
Peer Specialist
4880 OLD AIRPORT RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 313-1333
DANAY ROSENDAHL
Peer Specialist
4880 OLD AIRPORT RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 313-1333
SHAWN PETER TREADWAY I
Peer Specialist
4880 OLD AIRPORT RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 313-1333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jereme Vaughan's NPI number?

The NPI number for Jereme Vaughan is 1346894789. It was assigned to this individual provider in the NPPES registry on July 24, 2019.

Where is Jereme Vaughan located?

Jereme Vaughan practices at 4880 Old Airport Rd, Fairbanks, AK 99709. The listed phone number is (907) 313-1333.

What is Jereme Vaughan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jereme Vaughan was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.