Lolita Maria Vaughan, CRNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

UP004943G Issued in PA

Practice address

9501 Roosevelt Ave.
Suite 404
Philadelphia, PA 19114

Phone

(215) 676-6696

Fax

(215) 676-6697

NPI assigned

Mar 6, 2012

Sex

Female

Sole proprietor

Yes

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

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eugene Andruczyk, D.O., LLC

  • Gynecology Physician
  • Philadelphia, PA
  • NPI 1760429260
  NPD (past)

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1376817569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 ROOSEVELT BLVD.",
            "address_2": "SUITE 404",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19114",
            "telephone_number": "215-676-6696",
            "fax_number": "215-676-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 ROOSEVELT AVE.",
            "address_2": "SUITE 404",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19114",
            "telephone_number": "215-676-6696",
            "fax_number": "215-676-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "LOLITA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "UP004943G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nitin Vaswani, MD, MPH, MBA
• Pavan Anil Vaswani
• Seth Eliot Vatsky, DO
• Celeste O Vaughan-Briggs, LCSW
• Oluwarotimi Vaughan-Ogunlusi, MB, BCH, BAO
• Anika Dore Vaughn-Cooke, M.D.
• David J Vaughn, MD
• James Vaughn, DC
• Kory Greggs Vaughn, M.D.
• Kristan Vaughn

• Obstetrics & Gynecology Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Obstetrics & Gynecology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.