James Robert Vaughn III, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT21706364 Issued in IN

Practice address

704 Highlander Point Dr
Floyds Knobs, IN 47119-8409

Phone

(812) 989-4346

NPI assigned

Aug 31, 2021

Last updated

Aug 31, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1861160392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NORTH SHORE DR",
            "address_2": "SUITE 201 #114",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "47136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 HIGHLANDER POINT DR",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471198409",
            "telephone_number": "812-989-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_suffix": "III",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "262134",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT21706364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United States Medical Laboratory (US Med Lab)
• Kristie C Upton
• Jessica Ann Vanburen Curtis, LCSW
• Noah Vasilakes, PHARMD
• David James Vaughn III, D.C., CSCS
• Zackary Wages, DO
• Walgreen Co (Rite Aid #16784)
• Walgreen Co (Walgreens #09710)
• Jennifer N Watson
• Robert Marshall Weiss, M.D.

• Massage Therapist in Floyds Knobs, IN
• Providers in Floyds Knobs, IN by specialty
• Massage Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.