DERRICK LEE VAUGHN
NPI 1770259459
Home Health Aide in Grand Rapids, MI

Q: What is Derrick Vaughn's NPI number?

The NPI number for Derrick Vaughn is 1770259459. It was assigned to this individual provider in the NPPES registry on August 21, 2021.

Q: What is Derrick Vaughn's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

Q: When was this NPI record last updated?

The NPPES record for Derrick Vaughn was last updated on August 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 21, 2021

209 DIVISION AVE S APT 107, GRAND RAPIDS, MI 49503(313) 974-9107 Get Directions Write a Review

NPPES record last updated: August 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Derrick Lee Vaughn NPPES

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

DERRICK LEE VAUGHN (NPI 1770259459) is an individual home health aide in Grand Rapids, Michigan and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1770259459

Entity TypeIndividualMale

Primary Taxonomy374U00000X

Provider Legal NameDERRICK LEE VAUGHN

Location Address209 DIVISION AVE S APT 107Grand Rapids, MI 49503-4547

Mailing Address922 Ogden Ave SeGrand Rapids, MI 49506-3561 · (313) 974-9107

Phone(313) 974-9107

Sole ProprietorYes

Enumeration DateAugust 21, 2021

NPPES CertifiedAugust 21, 2021

✔ NPI 1770259459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers

Taxonomy Code374U00000X

Definition

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

209 DIVISION AVE S APT 107, Grand Rapids, MI 49503

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Derrick Vaughn's NPI number?

The NPI number for Derrick Vaughn is 1770259459. It was assigned to this individual provider in the NPPES registry on August 21, 2021.

Where is Derrick Vaughn located?

Derrick Vaughn practices at 209 Division Ave S Apt 107, Grand Rapids, MI 49503. The listed phone number is (313) 974-9107.

What is Derrick Vaughn's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Derrick Vaughn was last updated on August 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.