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Deactivated NPI 1265692719 Deactivated / Inactive NPI Female Practitioner

Evelyn Cagle

Licensed Practical Nurse • Lathrop, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Evelyn Cagle has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 09, 2008
NPI Deactivation Date September 30, 2019
Total Practice Duration ~11 Years of Practice (2008 – 2019)

Professional Overview & Biography Verified Profile Summary

Evelyn Cagle was a registered Licensed Practical Nurse practicing in Lathrop, CA. Throughout an active medical career spanning 11 years, Evelyn Cagle provided care at the practice location at 3401 YOSEMITE AVE until profile deactivation on 2019-09-30.

Practice Location & Contact Primary Location

Practice Address

3401 Yosemite Ave

Lathrop, CA 953309748

Telephone 2094014071

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Lathrop, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Lathrop, CA (440 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License CA VN83640

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 30, 2019

Record deactivated on September 30, 2019

NPI Profile Active June 09, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 09, 2008

Registered at 3401 YOSEMITE AVE, LATHROP, CA 953309748 (Tel: 2094014071)

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Updated Business Mailing Address June 09, 2008

Registered at 3401 YOSEMITE AVE, LATHROP, CA 953309748

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Provider Name / Credentials Updated June 09, 2008

Recorded as EVELYN CAGLE

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2008

Licensed Practical Nurse (License #VN83640 in CA)

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Initial NPI Registration & Enumeration June 09, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265692719
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2008
Last Update: June 09, 2008
Deactivation Date: September 30, 2019

Mailing Address

3401 Yosemite Ave

Lathrop, CA 953309748

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.