Elizabeth Ann Vaught, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A0000176 Issued in MD

Practice address

5114 N Charles St
Baltimore, MD 21210-2021

Phone

(410) 649-3315

NPI assigned

Aug 31, 2005

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

Other names 1

• Elizabeth Ann St. George Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1366436685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SOUTHWORTH CT",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144508",
            "telephone_number": "410-638-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102021",
            "telephone_number": "410-649-3315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8322 Bellona Ave",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212042012",
            "country_code": "US",
            "telephone_number": "410-337-8847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHT",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A0000176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "ST. GEORGE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shelby Vaughn
• Tatumn Vaughn
• Toni A Vaughn
• Adrianna Vaught
• Arthur Jason Vaught III, MD
• Latonya Vaughter
• Rebecca G Vaurio, PHD
• Lina Vaynerman, CPNP
• Yaroslav Vaynshteyn, CRNP
• Allen James Vaytser, DO

• Athletic Trainer in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Athletic Trainer in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.