NPI age
17 years
Enumerated 2008-06-17
● Active
Type 1 · Individual
Shannon R Vaughn, NP
Vaughn is 1 of 24 nurse practitioner providers in Boise and 1 of 56 in Idaho.
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-08-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 56 active nurse practitioner providers in Idaho.
NPI age
17 years
↑ 4 yr above median (13 yr)
State licenses
1 state
35% of peers hold multiple states
Subspecialties
0
66% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Practice location
300 E Jefferson St, Suite 101
Boise, ID 837126246
Mailing address
190 E Bannock St
Boise, ID 837126241
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 31 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 56 Nurse Practitioner providers in Idaho?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.