Michelle Patrice Vaughn, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

685050 Issued in CA

Practice address

2500 Alhambra Ave
Martinez, CA 94553-3156

Phone

(925) 370-5000

NPI assigned

Mar 24, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Michelle Patrice Roybal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1033796495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 BRITANNIA DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917006",
            "telephone_number": "510-691-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ALHAMBRA AVE",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945533156",
            "telephone_number": "925-370-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "MICHELLE",
        "middle_name": "PATRICE",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "685050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "ROYBAL",
            "middle_name": "PATRICE",
            "prefix": "MS.",
            "credential": "LVN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tina Marie Louise Vanwolbeck, RN, PHN
• Michelle Varela
• Solon Vargas
• Raghesh Varot Kangath, M.D
• Nakul Varshney
• Poly M. Vela-Victa, MD
• Rebecca Vela, CADAC-II
• Brendi Linda Elnora Velasquez, RADT
• Allan Christian Velazquez, LPT
• Pauline Velez, MD

• Licensed Vocational Nurse in Martinez, CA
• Providers in Martinez, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.