KERRY L VAUGHN (NPI# 1760989115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760989115 |
| Entity Type | Individual |
| Full Name | KERRY L VAUGHN |
| Credential | CRNP |
| Practice Address |
12311 Perry Hwy Fl 1 Wexford PA 15090 |
| Mailing Address |
12311 Perry Hwy Wexford PA 15090-8344 |
| Practice Telephone | 8783324174 |
| Practice Fax Number | 8783324479 |
| Mailing Telephone | 8783324159 |
| Mailing Fax Number | 8783324479 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2020-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP018735 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12311 PERRY HWY FL 1 |
| City | WEXFORD |
| State | PA |
| Zip Code | 15090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932746443 | Lauren Jennifer Kinder | Nurse Practitioner | 103 North Meadows Dr., Suite 220, Wexford, PA 15090 | 2019-12-03 |
| 1235608365 | Pittsburgh Ear LLC | Audiologist | 6041 Wallace Road Ext, Suite 110, Wexford, PA 15090 | 2018-11-19 |
| 1659847739 | Anna Zenkova | Physician Assistant | 10466 Perry Highway, Baierl Honda Cpo Building. 2nd Floor., Wexford, PA 15090 | 2018-10-16 |
| 1831674571 | Comprehensive Care Multi-specialty Physician Organization PC | Internal Medicine | 6400 Brooktree Court., Suite. 320, Wexford, PA 15090 | 2018-09-28 |
| 1821446097 | John Richard Moesch | Internal Medicine | 9000 Brooktree Rd, Brooktree Office Park, Suite 2000, Hexford, PA 15090 | 2016-05-28 |
| 1336595511 | Kelly Mea | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090 | 2016-05-06 |
| 1194194282 | Natassia Dickey | Counselor | 101 N Meadows Dr Ste 234, Wexford, PA 15090 | 2015-09-18 |
| 1912382631 | Jessica Hamilton | Dietitian, Registered | 155 Towne Centre Avenue, Wexford, PA 15090 | 2015-07-23 |
| 1205211224 | Tamara Domnitz | Optometrist | 110 Vip Dr Ste 301, Wexford, PA 15090 | 2015-07-21 |
| 1952714362 | Charles Jaicks | Chiropractor | 3000 Village Run Rd. Suite 106, Wexford, PA 15090 | 2014-06-04 |
| Find all providers in zip 15090 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932746443 | Lauren Jennifer Kinder | Nurse Practitioner | 103 North Meadows Dr., Suite 220, Wexford, PA 15090 | 2019-12-03 |
| 1972152544 | Chelsea Burchick | Nurse Practitioner | 401 Fairgate Dr, Wexford, PA 15090-1524 | 2019-09-06 |
| 1790330801 | Ashley Nicole Thrower | Nurse Practitioner | 6500 Brooktree Rd Ste 101, Wexford, PA 15090-9272 | 2019-08-06 |
| 1780142877 | Kayleigh Christine Oswald | Nurse Practitioner | 2500 Brooktree Rd Ste 200, Wexford, PA 15090-9278 | 2019-03-07 |
| 1336665678 | Virginia Hofmann | Nurse Practitioner | 6000 Brooktree Rd Ste 207, Wexford, PA 15090-9279 | 2017-08-18 |
| 1306236146 | Debra A Arbuthnot | Nurse Practitioner | 7500 Brooktree Rd Ste 214, Wexford, PA 15090-9254 | 2015-02-02 |
| 1265841985 | Beena Puthenpurayil | Nurse Practitioner | 6400 Brooktree Ct Ste 230, Wexford, PA 15090-9271 | 2014-08-06 |
| 1114566403 | Michele Rutkowski | Nurse Practitioner | 8500 Brooktree Rd, Wexford, PA 15090-9287 | 2020-01-03 |
| 1922543123 | Rick C Rickman | Nurse Practitioner | 12311 Perry Hwy, Wexford, PA 15090-8344 | 2016-12-23 |
| 1497111017 | Janet L Friend | Nurse Practitioner | 12311 Perry Hwy, Wexford, PA 15090-8344 | 2016-01-12 |
| Find all providers in WEXFORD | ||||
Please comment or provide details below to improve the information on KERRY L VAUGHN.
| 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.