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Deactivated NPI 1174849095 Deactivated / Inactive NPI Female Practitioner

Delois Delois Shaw

Licensed Practical Nurse • Orlando, 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, Delois Shaw has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 16, 2010
NPI Deactivation Date August 07, 2024
Total Practice Duration ~14 Years of Practice (2010 – 2024)

Professional Overview & Biography Verified Profile Summary

Delois Shaw was a registered Licensed Practical Nurse practicing in Orlando, FL. Throughout an active medical career spanning 14 years, Delois Shaw provided care at the practice location at 1707 ORLANDO CENTRAL PKWY until profile deactivation on 2024-08-07.

Practice Location & Contact Primary Location

Practice Address

1707 Orlando Central Pkwy

Orlando, FL 328095759

Telephone 4072406268
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Orlando, FL

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

Practicing in Orlando, 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 PN211121

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

4 Associated Practitioners
Melissa Veigle , RN

Registered Nurse - Home Health

NPI 1396061628

Registered Nurse

Sandra Ontkos

Registered Nurse - Home Health

NPI 1497071724
Marie Benoit

Licensed Practical Nurse

NPI 1528362514
Maureen Smolensky

Registered Nurse - Home Health

NPI 1538485859

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 August 07, 2024

Record deactivated on August 07, 2024

NPI Profile Active April 16, 2010

NPI status registered as active in NPPES database

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Updated Practice Location April 16, 2010

Registered at 1707 ORLANDO CENTRAL PKWY, ORLANDO, FL 328095759 (Tel: 4072406268)

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Updated Business Mailing Address April 16, 2010

Registered at 1707 ORLANDO CENTRAL PKWY, ORLANDO, FL 328095759 (Tel: 4072406268)

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Provider Name / Credentials Updated April 16, 2010

Recorded as DELOIS SHAW

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2010

Licensed Practical Nurse (License #PN211121 in FL)

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Initial NPI Registration & Enumeration April 16, 2010

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: 1174849095
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2010
Last Update: April 16, 2010
Deactivation Date: August 07, 2024

Mailing Address

1707 Orlando Central Pkwy

Orlando, FL 328095759

Phone: 4072406268

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.