Lashaunda Delores Vaughn

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

License

C54340 Issued in OH

Practice address

10979 Reed Hartman Hwy Ste 227
Blue Ash, OH 45242-2882

Phone

(513) 745-0396

Fax

(513) 672-2823

NPI assigned

Jan 16, 2025

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)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pretty Moments Boutique Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Mason, OH
  • NPI 1922788041

  Mastectomy Fitter

  NPD Authorized official
• Servicefirst Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Blue Ash, OH
  • NPI 1093291676
  NPD (past)

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1780495044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10979 REED HARTMAN HWY STE 227",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422882",
            "telephone_number": "513-745-0396",
            "fax_number": "513-672-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10979 REED HARTMAN HWY STE 227",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422882",
            "telephone_number": "513-745-0396",
            "fax_number": "513-672-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "LASHAUNDA",
        "middle_name": "DELORES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mastectomy Fitter",
            "state": "OH",
            "license": "C54340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Barbara L Valador, LSW
• Gianfranco Valle, MD
• Kaitlin Vanover, HIS
• Vbecker Psychological Services LLC
• Kim Maria Verdier, OTR/L
• Amanda Vickers
• Marilyn George Vincent, LPCC-S
• Jasmine Viola, LCDCIII

• Mastectomy Fitter in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Mastectomy Fitter in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.