Active NPI
Lori Vaughan, M.A.,CCC-SLP
- Speech-Language Pathologist
- Clovis, CA
National Provider Identifier
1750777546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22749
- Practice address
- 650 W Alluvial Ave
Clovis, CA 93611-6716 - Phone
- (559) 930-6687
- NPI assigned
- Apr 8, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22749 | CA | Primary |
Addresses
Primary practice location
650 W Alluvial Ave
Clovis, CA 93611-6716
Mailing address
4885 N Chestnut Ave
Apt 152
Fresno, CA 93726-1853
Phone (559) 930-6687
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)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428451200000",
"number": "1750777546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4885 N CHESTNUT AVE",
"address_2": "APT 152",
"city": "FRESNO",
"state": "CA",
"postal_code": "937261853",
"telephone_number": "559-930-6687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 W ALLUVIAL AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936116716",
"telephone_number": "559-930-6687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "LORI",
"credential": "M.A.,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-08",
"last_updated": "2015-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "22749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.