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Deactivated NPI 1134770563 Deactivated / Inactive NPI Male Practitioner

Timothy Foster , LPN

Licensed Practical Nurse • Trinity, 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, Timothy Foster has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 26, 2019
NPI Deactivation Date February 01, 2023
Total Practice Duration ~4 Years of Practice (2019 – 2023)

Professional Overview & Biography Verified Profile Summary

Timothy Foster, LPN was a registered Licensed Practical Nurse practicing in Trinity, FL. Throughout an active medical career spanning 4 years, Timothy Foster provided care at the practice location at 9332 SR 54 until profile deactivation on 2023-02-01.

Practice Location & Contact Primary Location

Practice Address

9332 Sr 54
Ste 202

Trinity, FL 34655

Telephone 7275974441
Associated Practice Facility / Clinic
🏢 Jordan T Young Md, Pa Facility NPI 1679832737

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Trinity, FL

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

Practicing in Trinity, 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 PN5241192

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

3 Associated Practitioners
Dr. Bassem Zeidan , MD

Internal Medicine - Pulmonary Disease

NPI 1013571496

Doctor of Medicine (M.D.)

Kiran Tirumalasetty

Internal Medicine

NPI 1104480854
Dr. Jordan Young , MD

Internal Medicine

NPI 1457371684

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated February 01, 2023

Record deactivated on February 01, 2023

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Updated Practice Location July 27, 2022

Registered at 3003 W GRAND RIVER AVE, HOWELL, MI 488438539 (Tel: 5175464210)

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Updated Business Mailing Address July 27, 2022

Registered at 8170 HIDDEN HOLW, FENTON, MI 484304401 (Tel: 8109222226)

NPI Profile Active September 26, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2019

Registered at 9332 SR 54, STE 202, TRINITY, FL 34655 (Tel: 7275974441)

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Updated Business Mailing Address September 26, 2019

Registered at PO BOX 5897, HUDSON, FL 346745897

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Provider Name / Credentials Updated September 26, 2019

Recorded as TIMOTHY FOSTER, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2019

Licensed Practical Nurse (License #PN5241192 in FL)

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Initial NPI Registration & Enumeration September 26, 2019

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: 1134770563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2019
Last Update: September 26, 2019
Deactivation Date: February 01, 2023

Mailing Address

Po Box 5897

Hudson, FL 346745897

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.