Paula Jean Vaughan, MBA, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

001887 Issued in IA

Practice address

312 9TH St SW
Waverly, IA 50677-2929

Phone

(319) 352-4902

Fax

(319) 352-3992

NPI assigned

Sep 18, 2012

Last updated

Sep 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1285984237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 9TH ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772929",
            "telephone_number": "319-352-4902",
            "fax_number": "319-352-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 9TH ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772929",
            "telephone_number": "319-352-4902",
            "fax_number": "319-352-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "PAULA",
        "middle_name": "JEAN",
        "credential": "MBA, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "001887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Utz, LPT
• Susan Kosche Vallem, EDD, LISW
• Devin Van Raden
• Larry H Vandaalen, OD
• Kerri Marie Vanee, ACNP-BC
• Rachel Lee Vaughn, ARNP
• Belinda Malinao Velasquez, LPT
• Verlyn W Heine DC PC
• Wal-Mart Stores, Inc. (Vision Center 30-1005)
• Walgreen Co (Walgreens #12148)

• Registered Dietitian in Waverly, IA
• Providers in Waverly, IA by specialty
• Registered Dietitian in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.