Individual provider Active NPI

Cynthia Sue Vaughn, D.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1114993375
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4933 Issued in TX
Practice address
2500 W William Cannon Dr
Suite 205
Austin, TX 78745-5257
Phone
(512) 445-3366
Fax
(512) 444-8283
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4933 TX Primary

Addresses

Primary practice location

2500 W William Cannon Dr
Suite 205
Austin, TX 78745-5257

Mailing address

2500 W William Cannon Dr
Suite 205
Austin, TX 78745-5257
Phone (512) 445-3366

Other names 1

  • Dr. Cynthia Vaughn Edwards Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4933TXMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1114993375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W WILLIAM CANNON DR",
            "address_2": "SUITE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455257",
            "telephone_number": "512-445-3366",
            "fax_number": "512-444-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W WILLIAM CANNON DR",
            "address_2": "SUITE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455257",
            "telephone_number": "512-445-3366",
            "fax_number": "512-444-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "CYNTHIA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "EDWARDS",
            "middle_name": "VAUGHN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.