Jerrilyn Frasier Vaughan, AU.D., L-SLP/A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

4487 Issued in LA

Practice address

1503 Goodwin Rd Ste 205
Ruston, LA 71270

Phone

(318) 251-1572

Fax

(318) 251-1572

NPI assigned

Mar 25, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Other names 1

• Jerrilyn Cook Fraiser Former name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Audiology and Hearing AIDS, LLCGroup PAC ID 7315373537, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Advanced Audiology and Hearing AIDS, LLC

  • Audiologist-Hearing Aid Fitter
  • Ruston, LA
  • NPI 1568023588
  Medicare reassignment Care Compare group NPD
• T.L.Roberts Enterprises

  • Audiologist-Hearing Aid Fitter
  • Alexandria, LA
  • NPI 1720263908
  NPD (past)

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1780701516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 GOODWIN RD STE 205",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702938",
            "telephone_number": "318-251-1572",
            "fax_number": "318-251-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 GOODWIN RD STE 205",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "71270",
            "telephone_number": "318-251-1572",
            "fax_number": "318-251-1572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 S Farmerville St",
            "address_purpose": "LOCATION",
            "city": "Ruston",
            "state": "LA",
            "postal_code": "712705941",
            "country_code": "US",
            "telephone_number": "318-251-6214",
            "fax_number": "318-251-3688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "JERRILYN",
        "middle_name": "FRASIER",
        "name_prefix": "Dr.",
        "credential": "AU.D., L-SLP/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-25",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "LA",
            "license": "4487",
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "LA",
            "license": "4487",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "LA",
            "license": "4487",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "4487",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "LA",
            "license": "4487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRILYN",
            "last_name": "FRAISER",
            "middle_name": "COOK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jodi Wright Tyler, PLPC
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• Marti Bordenlon Vandagriff, RDN LDN CDCES
• Herbert F Vandenberg, M.D.
• Jared Mark Vincent, MD
• Lacy Culver Vincent, PA
• Vision Associates Inc
• Cynthia Paige Volentine
• Patricia D Volentine, CRNA

• Audiologist-Hearing Aid Fitter in Ruston, LA
• Providers in Ruston, LA by specialty
• Audiologist-Hearing Aid Fitter in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.