Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tracy A Vaughn, RPA

Individual provider Physician Assistant · NPI 1598766354

Tracy A Vaughn, RPA is a Physician Assistant in Fayetteville, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005

Practice location Address checks out

4507A Medical Center Dr
Fayetteville, NY 13066-6604
Phone: (315) 663-0508
Fax: (315) 663-0509
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 006835 (NY)

Record details

NPI number1598766354
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESJanuary 23, 2013

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