Active NPI
Lara Elizabeth Vaughn, D.V.M., PH.D.
- Specialist
- Athens, GA
National Provider Identifier
1881137479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- VET 006604
- Practice address
- 1351 White Oak Dr
Athens, GA 30606-5211 - Phone
- (706) 202-9319
- NPI assigned
- Nov 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | VET 006604 | GA | Primary |
Addresses
Primary practice location
1351 White Oak Dr
Athens, GA 30606-5211
Mailing address
1351 White Oak Dr
Athens, GA 30606-5211
Phone (706) 202-9319
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VET 006604 | GA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1881137479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 WHITE OAK DR",
"city": "ATHENS",
"state": "GA",
"postal_code": "306065211",
"telephone_number": "706-202-9319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 WHITE OAK DR",
"city": "ATHENS",
"state": "GA",
"postal_code": "306065211",
"telephone_number": "706-202-9319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "LARA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.V.M., PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-30",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "VET 006604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.