Kendal Marie Vaughn, IBCLC, RN

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

9341464 Issued in FL

Practice address

2475 E Nine Mile Rd Ste E
Pensacola, FL 32514-7796

Phone

(850) 390-6896

NPI assigned

Aug 16, 2017

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502841600000",
    "number": "1497271076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32835A MAGNOLIA FARMS RD",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365679373",
            "telephone_number": "850-390-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 E NINE MILE RD STE E",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325147796",
            "telephone_number": "850-390-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "KENDAL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "IBCLC, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "FL",
            "license": "9341464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vascular and Vitality Institute PLLC
• Tiffany Camille Vasek
• William M Vaughan, PA
• Erin Shree Vaughn, LCSW
• Gracie Hearne Vaughn, APRN
• Richard M. Vaughn, DMD
• Catherine Vazquez, RBT
• Richard Vazquez, DMD
• Anthony R. Vega, CRNA
• Gabrielle Vela

• Lactation Consultant (Registered Nurse) in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Lactation Consultant (Registered Nurse) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.