Active NPI
Dawnial Vaughan
- Other Technician
- Petersburg, VA
National Provider Identifier
1972647568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 0230006557
- Practice address
- 26317 W Washington St
Petersburg, VA 23803 - Phone
- (804) 524-7346
- NPI assigned
- Feb 16, 2007
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 0230006557 | VA | Primary |
Addresses
Primary practice location
26317 W Washington St
Petersburg, VA 23803
Mailing address
24010 Bancroft Dr
Petersburg, VA 23803-8437
Phone (804) 733-4306
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0230006557 | VA | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972647568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24010 BANCROFT DR",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238038437",
"telephone_number": "804-733-4306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26317 W WASHINGTON ST",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "23803",
"telephone_number": "804-524-7346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "DAWNIAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "VA",
"license": "0230006557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.