DERRICK LEE VAUGHN NPI 1770259459

NPI Information

  • NPI: 1770259459
  • Provider Name: DERRICK LEE VAUGHN
  • Classification: Home Health Aide - 374U00000X
  • Entity Type: Individual
  • Address: 209 DIVISION AVE S APT 107
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (313) 974-9107

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NPI Details

Derrick Lee Vaughn is a home health aide in Grand Rapids, MI. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Derrick Lee Vaughn NPI is 1770259459. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

209 DIVISION AVE S APT 107
GRAND RAPIDS, MI
ZIP 49503-547
Phone: (313) 974-9107

The enumeration date for this NPI number is 8/21/2021 and was last updated on 8/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1374U00000XHome Health AideYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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