Kelly McCabe Vaughn, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3685 Issued in SC

Practice address

2130 Pinehurst Ave
Charleston, SC 29414-6455

Phone

(843) 763-1538

NPI assigned

Mar 19, 2007

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

Other names 1

• Ms. Kelly McCabe Fulmer Former name

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630108800000",
    "number": "1609991983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 RUTHERFORD WAY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146677",
            "telephone_number": "843-693-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 PINEHURST AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146455",
            "telephone_number": "843-763-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "KELLY",
        "middle_name": "MCCABE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "FULMER",
            "middle_name": "MCCABE",
            "prefix": "MS.",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joel Fuller Vaughan, MD
• Joseph Peyton Vaughan, MD
• Leigh Vaughan, MD
• Randy T Vaughan, D.D.S.
• Wallace Ann Vaughan, RN, BSN
• Stephanie Carol Vaughn, MD
• Taylor Veal
• James Patrick Vearil
• James Arthur Vecchiolla, RPH
• Olivia Llewellyn Vedad

• Speech-Language Pathologist in Charleston, SC
• Providers in Charleston, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.