Organization Active NPI

Lynn Ann Vaughan, MD, LTD

  • Dermatology Physician
  • Leavenworth, KS
National Provider Identifier
1932393360
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
27598 Issued in KS
Legal business name
LYNN ANN VAUGHAN, MD, LTD
Practice address
920 6TH Ave
Leavenworth, KS 66048-3225
Phone
(913) 682-8900
Fax
(913) 651-2007
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Dr. Lynn Ann Vaughan, M.D.
Title
Owner
Phone
(913) 682-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 27598 KS Primary

Addresses

Primary practice location

920 6TH Ave
Leavenworth, KS 66048-3225

Mailing address

989 Pebble Beach Dr
Lansing, KS 66043-1232
Phone (913) 682-8900

Other identifiers 1

IdentifierTypeStateIssuer
110783OtherKSBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1932393360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 PEBBLE BEACH DR",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660431232",
            "telephone_number": "913-682-8900",
            "fax_number": "913-651-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 6TH AVE",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660483225",
            "telephone_number": "913-682-8900",
            "fax_number": "913-651-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN ANN VAUGHAN, MD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-682-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "KS",
            "license": "27598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "110783",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.