Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1629340559 Deactivated / Inactive NPI Male Practitioner

Charles Richard Hasselbach , LPN

Licensed Practical Nurse • Ft Lauderdale, FL

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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, Charles Hasselbach has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 08, 2012
NPI Deactivation Date February 04, 2019
Total Practice Duration ~7 Years of Practice (2012 – 2019)

Professional Overview & Biography Verified Profile Summary

Charles Hasselbach, LPN was a registered Licensed Practical Nurse practicing in Ft Lauderdale, FL. Throughout an active medical career spanning 7 years, Charles Hasselbach provided care at the practice location at 401 NE 4TH ST until profile deactivation on 2019-02-04.

Practice Location & Contact Primary Location

Practice Address

401 Ne 4th St

Ft Lauderdale, FL 333011151

Telephone 9544536400
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Ft Lauderdale, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Ft Lauderdale, FL (1995 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 FL PN736431

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
NPI 1033510573
Sonya Vialva , LCSW

Social Worker - Clinical

NPI 1114207776

Licensed Clinical Social Worker

Renae Chambers , MS

Counselor - Mental Health

NPI 1134675895

Master of Science

NPI 1144658212

Master of Social Work

Dr. Troy Bushkin , PsyD, MS, MA

Counselor - Mental Health

NPI 1164875688

Doctor of Psychology (Psy.D.), Master of Science, Master of Arts

Jenise Mckeever , MS

Case Management

NPI 1306109533

Master of Science

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 February 04, 2019

Record deactivated on February 04, 2019

NPI Profile Active February 08, 2012

NPI status registered as active in NPPES database

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Updated Practice Location February 08, 2012

Registered at 401 NE 4TH ST, FT LAUDERDALE, FL 333011151 (Tel: 9544536400)

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Updated Business Mailing Address February 08, 2012

Registered at 1321 SW 23RD AVE, FT LAUDERDALE, FL 333124060

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Provider Name / Credentials Updated February 08, 2012

Recorded as CHARLES HASSELBACH, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2012

Licensed Practical Nurse (License #PN736431 in FL)

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Initial NPI Registration & Enumeration February 08, 2012

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: 1629340559
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2012
Last Update: February 08, 2012
Deactivation Date: February 04, 2019

Mailing Address

1321 Sw 23rd Ave

Ft Lauderdale, FL 333124060

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.