Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Kori Vaughn, AA-C

Individual provider Anesthesiologist Assistant · NPI 1629658349

MS. Kori Vaughn, AA-C is an Anesthesiology Assistant in Saint Louis, Missouri. Qualified in 2021, 5 years ago. Practices with Grady Memorial Hospital Corporation, a 363-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (314) 251-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X

Record details

NPI number1629658349
Entity typeIndividual (Type 1)
GenderFemale
Credentials AA-C
Sole proprietorNo
NPI enumeratedApril 8, 2021
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Grady Memorial Hospital Corporation — 363 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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