ALISA VAUGHN
NPI 1093297400
Technician, Other in Belleville, IL

Active since August 31, 2018
9601 W MAIN ST, BELLEVILLE, IL 62223(618) 917-2251 Get Directions Write a Review

NPPES record last updated: August 31, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alisa Vaughn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISA VAUGHN (NPI 1093297400) is an individual technician, other provider in Belleville, Illinois, licensed in Illinois (012.008627) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1093297400
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameALISA VAUGHN
Location Address9601 W MAIN STBelleville, IL 62223-1415
Mailing Address9601 W Main StBelleville, IL 62223-1415 · (618) 917-2251
Sole ProprietorYes
Enumeration DateAugust 31, 2018
NPI 1093297400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
License Licensed in IL · 012.008627
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
9601 W MAIN ST, Belleville, IL 62223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alisa Vaughn's NPI number?

The NPI number for Alisa Vaughn is 1093297400. It was assigned to this individual provider in the NPPES registry on August 31, 2018.

Where is Alisa Vaughn located?

Alisa Vaughn practices at 9601 W Main St, Belleville, IL 62223. The listed phone number is (618) 917-2251.

What is Alisa Vaughn's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Alisa Vaughn was last updated on August 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.