Individual provider Active NPI

Rebecca Lynn Vaughan

  • Speech-Language Pathologist
  • Essex Junction, VT
National Provider Identifier
1043696578
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
144.0134488 Issued in VT
Practice address
37 Lincoln St Ste 1B
Essex Junction, VT 05452-3261
Phone
(802) 316-8622
NPI assigned
Aug 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 144.0134488 VT Primary
Speech-Language Pathologist 235Z00000X 2202009142 VA
Speech-Language Pathologist 235Z00000X 144.0134473TELE VT
Speech-Language Pathologist 235Z00000X 026084 NY

Addresses

Primary practice location

37 Lincoln St Ste 1B
Essex Junction, VT 05452-3261

Mailing address

5103 Glen Heather Dr
Roanoke, VA 24018-2230
Phone (440) 915-8321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
026084NYMDSpeech-Language Pathologist
2202009142VAMDSpeech-Language Pathologist
144.0134473TELEVTMDSpeech-Language Pathologist
144.0134488VTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Therapy, LLC Speech-Language Pathologist CurrentSince Jun 21, 2022 Accepting new patients
Center for Pediatric Therapies, Inc. Speech-Language Pathologist PastSince Oct 1, 2019 Accepting new patients
The Shield of David, Inc. PastSince May 26, 2018 Accepting new patients

Locations

37 Lincoln St
Ste 1B
Essex Junction, VT 05452
Phone (802) 316-8622

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1043696578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 GLEN HEATHER DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240182230",
            "telephone_number": "440-915-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 LINCOLN ST STE 1B",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523261",
            "telephone_number": "802-316-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VT",
            "license": "144.0134488",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202009142",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VT",
            "license": "144.0134473TELE",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026084",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.