Gracie Vaughn, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN236696 Issued in CA

Practice address

24229 El Pilar
Laguna Niguel, CA 92677-3505

Phone

(949) 600-0711

NPI assigned

Dec 23, 2012

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. Gracie Miller 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": "1356220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356220800000",
    "number": "1144566928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24229 EL PILAR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773505",
            "telephone_number": "949-600-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24229 EL PILAR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773505",
            "telephone_number": "949-600-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "GRACIE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-23",
        "last_updated": "2012-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN236696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACIE",
            "last_name": "MILLER",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria Lynn Valensky, FNP
• Anne Randolph Van de Water, M.D.
• Caylin Alexis Vanoni, PTA
• Nazaret Gaspar Varzhapetyan, PHARM.D.
• Jose Gabriel Vasquez
• Kristina Louise Vellucci-Cook
• Veronica Chu OD Professional Corporation
• Megan Verrier, PT
• Kristy Kathleen Vetter, DDS
• Victoria Wang MD Inc.

• Licensed Vocational Nurse in Laguna Niguel, CA
• Providers in Laguna Niguel, 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 Dec 23, 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.