Kyra Emonee Vaughan

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1777 Montreal Cir
Tucker, GA 30084-6802

Phone

(866) 709-0772

NPI assigned

Nov 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1184498982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 LANDGRAF CLOSE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300344777",
            "telephone_number": "470-312-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 MONTREAL CIR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846802",
            "telephone_number": "866-709-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "KYRA",
        "middle_name": "EMONEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Valencia
• Tracey J Van Dyke, MA S/T
• Peter Victor Vanstrom, DDS
• Gina Ann Varco, MSN, APRN, AGACNP-BC
• Geetanjali Vasandani, MD
• Racquel Lewis Vaughn, DMD
• Erica Velker
• Izabella Verbitsky, M.D., PH.D.
• Verras Pediatrics PC
• Athanasios Verras, MD

• Student in an Organized Health Care Education/Training Program in Tucker, GA
• Providers in Tucker, GA by specialty
• Student in an Organized Health Care Education/Training Program in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.