Active NPI
Mary Lou Vaught, RN, CRNA
- Certified Registered Nurse Anesthetist
- Cincinnati, OH
National Provider Identifier
1235126301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 194761
- Practice address
- 2000 Joseph E. Sanker Boulevard
Cincinnati, OH 45212 - Phone
- (513) 841-7600
- Fax
- (513) 841-7601
- NPI assigned
- Oct 4, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 194761 | OH | Primary |
Addresses
Primary practice location
2000 Joseph E. Sanker Boulevard
Cincinnati, OH 45212
Mailing address
4549 Raynor Court
Mason, OH 45040
Phone (513) 204-5696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0797526 | Medicaid | OH |
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
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 194761 | OH | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1235126301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4549 RAYNOR COURT",
"city": "MASON",
"state": "OH",
"postal_code": "45040",
"telephone_number": "513-204-5696",
"fax_number": "877-284-4283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 JOSEPH E. SANKER BOULEVARD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45212",
"telephone_number": "513-841-7600",
"fax_number": "513-841-7601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHT",
"first_name": "MARY",
"middle_name": "LOU",
"name_prefix": "Ms.",
"credential": "RN, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-04",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "194761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0797526",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.