Active NPI
Katherine Marie Vaughn, M.S., R.D., C.D.N
- Registered Dietitian
- Fairport, NY
National Provider Identifier
1841625316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 007787-1
- Practice address
- 1000 Turk Hill Rd
Fairport, NY 14450-8755 - Phone
- (602) 799-9823
- NPI assigned
- Sep 3, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 007787-1 | NY | Primary |
Addresses
Primary practice location
1000 Turk Hill Rd
Fairport, NY 14450-8755
Mailing address
134 Jefferson Ave
Fairport, NY 14450-1912
Phone (716) 553-6878
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007787-1 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1841625316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 JEFFERSON AVE",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144501912",
"telephone_number": "716-553-6878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 TURK HILL RD",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144508755",
"telephone_number": "602-799-9823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "KATHERINE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.S., R.D., C.D.N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-03",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "007787-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.