Kathleen Vaughan, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146008744 Issued in IL

Practice address

9611 S Hanna City Glasford Rd
Glasford, IL 61533-9506

Phone

(309) 389-5025

Fax

(309) 389-5027

NPI assigned

Dec 2, 2015

Last updated

Aug 22, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1669847570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 E ASH ST",
            "city": "ELMWOOD",
            "state": "IL",
            "postal_code": "615299510",
            "telephone_number": "309-696-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9611 S HANNA CITY GLASFORD RD",
            "city": "GLASFORD",
            "state": "IL",
            "postal_code": "615339506",
            "telephone_number": "309-389-5025",
            "fax_number": "309-389-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "KATHLEEN",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carleen Colvin
• Graham Hospital Association (Graham Medical Group Glasford)
• Illini Bluffs Cu SCH Dist 327

• Speech-Language Pathologist in Glasford, IL
• Providers in Glasford, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.