Provider Demographics
NPI:1437041399
Name:VAUGHN, TIFFANY (STNA, CMA)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:STNA, CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2464 BELL CASTLE DR UNIT 107
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-3850
Mailing Address - Country:US
Mailing Address - Phone:317-653-9179
Mailing Address - Fax:
Practice Address - Street 1:2464 BELL CASTLE DR UNIT 107
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-3850
Practice Address - Country:US
Practice Address - Phone:317-653-9179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
376J00000X
OH601719320624376K00000X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide