Katelyn Vaughan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4154 Issued in AR

Practice address

10310 W Markham St Ste 205
Little Rock, AR 72205-1579

Phone

(501) 406-7910

Fax

(501) 251-1099

NPI assigned

Apr 15, 2016

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1295189231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10702 CRESTDALE LN",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722123624",
            "telephone_number": "870-338-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 W MARKHAM ST STE 205",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051579",
            "telephone_number": "501-406-7910",
            "fax_number": "501-251-1099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4109 Highway 98 W",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "MS",
            "postal_code": "396669132",
            "country_code": "US",
            "telephone_number": "601-276-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "KATELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "3917",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "4154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Vaske
• Isabel Vasquez
• Kaizz J. V. Vasquez, PT
• Jordan Taylor Vaughan, AUD
• Juliana Frem Vaughan, M.D
• Ramsey Vaughan, ATC
• Amelia Ray Vaughn, CRNA
• Bradley Allen Vaughn, PTA
• Lataveya Vault
• Marsha Vault

• Speech-Language Pathologist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.