Amelia Vaughn, AMELIA VAUGHN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

743012 Issued in CA

Practice address

2222 Bancroft Way
Berkeley, CA 94720-4301

Phone

(510) 642-2000

NPI assigned

Jul 25, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amy Vaughn Other 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": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1659713113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 ECHO AVE APT 11",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114367",
            "telephone_number": "510-418-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 BANCROFT WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947204301",
            "telephone_number": "510-642-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "AMELIA",
        "credential": "AMELIA VAUGHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "743012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "VAUGHN",
            "credential": "AMY VAUGHN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elisa Vasquez, M.A.
• Jonathan David Vasquez
• Brian Christopher Vassalo
• Vishal Vijay Vaswani, LMHC
• Natalia Vasylyk, D.D.S.
• Zhanetta Vaysman
• Maryna Vazmitsel, M.D.
• Cesar Ricardo Vazquez
• VC Enterprises, Inc (Site For Sore Eyes)
• Elizabeth Veale

• Registered Nurse in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.