DR. BLAKE RENEE VAUGHAN (NPI# 1790972792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790972792 |
| Entity Type | Individual |
| Full Name | DR. BLAKE RENEE VAUGHAN |
| Credential | DNP-PMHNP-BC |
| Practice Address |
44447 10th St W Lancaster CA 93534-3324 |
| Practice Telephone | 6617234260 |
| Practice Fax Number | 6617262630 |
| Mailing Telephone | 6617262630 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2020-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN397019 | CA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95014515 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
44447 10TH ST W |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-3324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427181148 | Sherie Lynne Lawrence | Counselor | 44447 10th St W, Lancaster, CA 93534-3324 | 2007-03-13 |
| 1669070025 | Jason Michael Schenewark | Counselor | 44447 10th St W, Lancaster, CA 93534-3324 | 2020-10-16 |
| 1063010551 | Velma Collins | Counselor | 44447 10th St W, Lancaster, CA 93534-3324 | 2020-10-15 |
| 1487267274 | Ruben Daniel Gutierrez | Counselor | 44447 10th St W, Lancaster, CA 93534-3324 | 2020-08-31 |
| 1679184949 | Brian James Roy | Licensed Vocational Nurse | 44447 10th St W, Lancaster, CA 93534-3324 | 2020-08-11 |
| 1407465859 | Christine Poe | Counselor | 44447 10th St W, Lancaster, CA 93534-3324 | 2020-07-30 |
| 1285264226 | Michelle Reveles | Licensed Vocational Nurse | 44447 10th St W, Lancaster, CA 93534-3324 | 2020-01-17 |
| 1306481163 | Tina Marie Crawford | Counselor | 44447 10th St W, Lancaster, CA 93534-3324 | 2019-11-14 |
| 1992348270 | Tangela Monet Demery | Case Manager/Care Coordinator | 44447 10th St W, Lancaster, CA 93534-3324 | 2019-10-19 |
| 1427607845 | Sandra Diane Young | Marriage & Family Therapist | 44447 10th St W, Lancaster, CA 93534-3324 | 2019-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359525 | Laura Ann Bowser | Nurse Practitioner | 1007 Janet Ave, Lancaster, PA 17601-5119 | 2019-07-31 |
| 1992846497 | Jt Bagen Enterprises Inc | Nurse Practitioner | 4721 Transit Road, Suite 23, Lancaster, NY 14043 | 2007-02-09 |
| 1982203337 | Nicole Renee Grazioli | Nurse Practitioner | 333 Harrisburg Ave, Lancaster, PA 17603-2951 | 2020-10-17 |
| 1154950152 | Evelyn Mensah | Nurse Practitioner | 812 N Prince St, Lancaster, PA 17603-2732 | 2020-04-02 |
| 1033741988 | Sheila O. Jourdain | Nurse Practitioner | 802 New Holland Ave, Lancaster, PA 17602-2287 | 2020-02-09 |
| 1255980058 | Brandon Pankiewicz | Nurse Practitioner | 1902 Olde Homestead Ln, Lancaster, PA 17601-5875 | 2019-09-05 |
| 1043781537 | Jamie Lee Keagy | Nurse Practitioner | 333 Harrisburg Ave, Lancaster, PA 17603-2951 | 2018-12-10 |
| 1790272243 | Josephine Ebarume Aideloje | Nurse Practitioner | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2018-04-20 |
| 1518485200 | Amanda A Yost | Nurse Practitioner | 812 N Prince St, Lancaster, PA 17603-2732 | 2017-09-01 |
| 1871011668 | Kirsten Elise Weiss | Nurse Practitioner | 1886 Rohrerstown Rd, Lancaster, PA 17601-2322 | 2017-09-01 |
| Find all providers in LANCASTER | ||||
Please comment or provide details below to improve the information on DR. BLAKE RENEE VAUGHAN.
| 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.