DR. KRISTINA DENISE VAUGHN


Address: 1225 N State St, Jackson, MS 39202-2064
Phone: 6016641300

DR. KRISTINA DENISE VAUGHN (NPI# 1174770168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174770168
Entity Type Individual
Full Name DR. KRISTINA DENISE VAUGHN
Credential M.D.
Practice Address 1225 N State St
Jackson
MS 39202-2064
Practice Telephone 6016641300
Practice Fax Number 6012924262
Mailing Telephone 6016641300
Mailing Fax Number 6012924262
Enumeration Date 2008-08-21
Last Update Date 2012-03-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 21722 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 08952552 05

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NPI Name Taxonomy Address Enumeration
1275995987 Kristina Marie Vaughn Physical Therapist 457 N. Elm Street, Escondido, CA 92025 2016-03-22

Office Location

Street Address 1225 N STATE ST
City JACKSON
State MS
Zip Code 39202-2064

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013919216 Richard B Friedman Radiology 1225 N State St, Jackson, MS 39202-2064 2005-06-01
1326649336 Sharron Rena Brown Nurse Practitioner 1225 N State St, Jackson, MS 39202-2097 2020-11-05
1861009714 April Stevenson Corcoran Registered Nurse 1225 N State St, Jackson, MS 39202-2064 2020-09-24
1609485440 Mississippi Baptist Medical Center, Inc. Clinical Medical Laboratory 1225 N State St, Jackson, MS 39202-2064 2020-07-28
1912530569 Brandi Burge Wagner Nurse Practitioner 1225 N State St, Jackson, MS 39202-2064 2020-02-21
1760028955 Erin Jones Registered Nurse 1225 N State St, Jackson, MS 39202-2064 2019-11-21
1780229641 Lauren Blakeney Nurse Practitioner 1225 N State St, Jackson, MS 39202-2064 2019-11-14
1417591322 Lou Ann Wells Registered Nurse 1225 N State St, Jackson, MS 39202-2064 2019-11-04
1861043531 Jessica Candace Cody Anesthesiology 1225 N State St, Jackson, MS 39202-2064 2019-09-24
1386290955 Brady K Lowery Nurse Practitioner 1225 N State St, Jackson, MS 39202-2064 2019-08-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982234183 Eva Mackenzie Carmody Physician Assistant 1190 N State St Suite 502, Jackson, MS 39202 2020-01-16
1750868691 Katherine Walters Nurse Practitioner 501 Marshall St., Suite 400, Jackson, MS 39202 2018-07-24
1932638749 Tylan Lee Social Worker 860 East River Place Suite 100, Jackson, MS 39202 2017-06-06
1417314725 Euna Jyles Counselor 860 E River Pl, Jackson, MS 39202 2016-01-19
1255712048 Edward Jonathan Breight Specialist/Technologist 1325 East Fortication Street, Jackson, MS 39202 2015-06-17
1881037703 Kara Spinks Logan Surgery 1190 N State St Ste 502, Jackson, MS 39202 2013-04-10
1477876530 Mick Inc. Technician 334 Josanna Street, Suite #209, Jackson, MS 39202 2010-03-03
1073724910 Paul Frederic Dare Anesthesiology 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 2007-05-24
1225247703 Lynn Kincannon Holland Counselor 911 Manship Street, Unit A, Jackson, MS 39202 2007-05-22
1457568149 Incare Inc Pulmonary Function Technologist 1151 North State St, Suite 406, Jackson, MS 39202 2007-05-16
Find all providers in zip 39202

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215556048 Hannah Roberts Badon Internal Medicine 2450 Wild Valley Dr, Jackson, MS 39211-6224 2020-04-12
1649809476 Rachel Horn Mullins Internal Medicine 5379 Fairway St, Jackson, MS 39211-4251 2020-04-03
1861800666 Michigan Continuum Care Pllc Internal Medicine 1310 Greenwood Ave., Jackson, MI 49203 2014-07-25
1356605752 Jeremy Taylor Internal Medicine 971 Lakeland Dr Ste 450, Jackson, MS 39216-4615 2012-06-29
1134416019 Zubair Khan Internal Medicine 3291 Creekwood Cir, Jackson, WI 53037-8927 2011-06-29
1801181466 Anne Marie Shute Internal Medicine 7 Windwood Dr, Jackson, TN 38305-8835 2011-06-12
1487945648 Howard Carroll Friday Internal Medicine 4019 Old Canton Rd., Jackson, MS 39216 2011-04-22
1801195003 Mahir H Alsalman Internal Medicine 3100 Cooper St, Jackson, MI 49201-7545 2011-03-28
1912138967 Tatum Medical Clinic Internal Medicine 5903 Ridgewood Rd Ste 330, Jackson, MS 39211-3702 2009-08-06
1306089040 Hussein Othman Internal Medicine 205 Page Ave Ste B, Jackson, MI 49201-2462 2009-04-10
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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