Wendy Renee Vaughn, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041.427652 Issued in IL

Practice address

420 N Morgan St
Olney, IL 62450-3638

Phone

(618) 676-7145

NPI assigned

Jul 17, 2019

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1831742014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N MORGAN ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624503638",
            "telephone_number": "618-676-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N MORGAN ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624503638",
            "telephone_number": "618-676-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "WENDY",
        "middle_name": "RENEE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.427652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trenton Trey Titsworth, APN
• Lindsey Tomlin, M.S. CCC-SLP
• Janie Jill Tompson
• Jacob William Tucker, ATC
• Sallie Anne Vanblaricum, APN
• Kyna Vincent
• Debra Lynne Waggle, APN
• Marti Jo Waggoner, PT
• Abbie Walden
• Alexander Waldherr, DO

• Registered Nurse in Olney, IL
• Providers in Olney, IL by specialty
• Registered Nurse in Illinois

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