Active NPI
Linda Joyce Vaughn, MS, CCC-SLP
- Speech-Language Pathologist
- Temple Hills, MD
National Provider Identifier
1598957995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01959
- Practice address
- 4205 Lakeview Dr
Temple Hills, MD 20748-4934 - Phone
- (301) 848-3216
- NPI assigned
- Aug 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP005960 | GA | |
| Speech-Language Pathologist | 235Z00000X | 01959 | MD | Primary |
Addresses
Primary practice location
4205 Lakeview Dr
Temple Hills, MD 20748-4934
Mailing address
4205 Lakeview Dr
Temple Hills, MD 20748-4934
Phone (301) 848-3216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01959 | MD | MD | Adult Development & Aging Psychologist |
| SLP005960 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367280000000",
"number": "1598957995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 LAKEVIEW DR",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207484934",
"telephone_number": "301-848-3216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 LAKEVIEW DR",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207484934",
"telephone_number": "301-848-3216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "LINDA",
"middle_name": "JOYCE",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-10",
"last_updated": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP005960",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "01959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple Hills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.