Katherina Denice Vaughn, LVN is a
Licensed Vocational Nurse based in Coolidge, Texas. Katherina Denice Vaughn is licensed to practice in Texas (license number 180830) and her current practice location is
205 Parker St., Coolidge, Texas. She can be reached at her office (for appointments etc.) via phone at
(254) 420-9439.
NPI number for Katherina Denice Vaughn is 1891328753 and her current mailing address is 755 S Beckham Ave, Tyler, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891328753.
Provider's Profile
| Full Name | Katherina Denice Vaughn |
|---|
| Gender | Female |
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| Speciality | Licensed Vocational Nurse |
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| Location | 205 Parker St., Coolidge, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891328753
- Provider Enumeration Date: 02/19/2020
- Last Update Date: 02/19/2020
Medical Identifiers
Medical identifiers for Katherina Denice Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891328753 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 180830 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katherina Denice Vaughn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Katherina Denice Vaughn, LVN
755 S Beckham Ave,
Tyler, TX 75701-1903
Ph: (903) 534-4684 | Katherina Denice Vaughn, LVN
205 Parker St.,
Coolidge, TX 76635
Ph: (254) 420-9439 |
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