Jillian Marie Vaughn

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

608 Rollie Moore Dr
Harrisburg, IL 62946-2351

Phone

(618) 252-6150

NPI assigned

Dec 16, 2022

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Dec 16, 2022.

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1255043667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 ROLLIE MOORE DR",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462351",
            "telephone_number": "618-252-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 ROLLIE MOORE DR",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462351",
            "telephone_number": "618-252-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "JILLIAN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247000000X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A Tucka, LCSW
• Turner Manor, Inc.
• Kara Lee Vallette, PT
• Adam M Vargo, MD
• Diana Vaughn, FNP-C
• Charles Keith Vineyard
• Walgreen Co .
• Walgreen Co.
• Morgan Walker
• Kennis Hal Wallace Jr., RPH

• All providers in Harrisburg, IL
• Other Technician in Illinois

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