Diane P. Vaughn

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-A6410 Issued in NM

Practice address

900 A Central Ave
Bayard, NM 88023-8802

Phone

(575) 537-4088

Fax

(575) 537-3921

NPI assigned

Aug 3, 2018

Sex

Female

Sole proprietor

No

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, last updated by the provider on Aug 3, 2018.

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1780162495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "BAYARD",
            "state": "NM",
            "postal_code": "880231000",
            "telephone_number": "575-537-4088",
            "fax_number": "575-537-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 A CENTRAL AVE",
            "city": "BAYARD",
            "state": "NM",
            "postal_code": "880238802",
            "telephone_number": "575-537-4088",
            "fax_number": "575-537-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "DIANE",
        "middle_name": "P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SLP-A6410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477683316",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Rosa, CCC-SLP
• Jane N Seavers, CNP
• Margarita Silva Potts, L.P.C.C.
• Amy J Trujillo, ED.S
• Ana Luisa Vasquez-Kishbaugh, RN, BSN

• All providers in Bayard, NM
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.