Vicki Lynn Vaughan, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209-002535 Issued in IL

Practice address

445 W Fullerton Pkwy
1E
Chicago, IL 60614-5185

Phone

(773) 615-1073

NPI assigned

Jun 22, 2009

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1669609293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 W FULLERTON PKWY",
            "address_2": "1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145185",
            "telephone_number": "773-615-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W FULLERTON PKWY",
            "address_2": "1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145185",
            "telephone_number": "773-615-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "VICKI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-002535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna D Vattanakul, PHARMD
• Nikhil Reddy Vatti, MD
• Alexandra Vaughan-Masamitsu
• Deborah Vaughan, PA-C
• Douglas Vaughan, MD
• Amanda R Vaughn, LMFT
• Briena Ariana Vaughn
• Doreen Vaughn, COTA
• Gina Vaughn
• Hope Vaughn

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.