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Deactivated NPI 1730591421 Deactivated / Inactive NPI Female Practitioner

Tiffany Ware , LPN

Licensed Practical Nurse • Decatur, IL

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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, Tiffany Ware has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 29, 2014
NPI Deactivation Date February 07, 2024
Total Practice Duration ~10 Years of Practice (2014 – 2024)

Professional Overview & Biography Verified Profile Summary

Tiffany Ware, LPN was a registered Licensed Practical Nurse practicing in Decatur, IL. Throughout an active medical career spanning 10 years, Tiffany Ware provided care at the practice location at 151 N MAIN ST until profile deactivation on 2024-02-07.

Practice Location & Contact Primary Location

Practice Address

151 N Main St

Decatur, IL 625231206

Telephone 2173622002
Fax 2173626290
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Decatur, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
43 Specialists

Practicing in Decatur, IL (906 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 IL 043107695

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

40 Associated Practitioners
Cathy Johansen , LPN

Licensed Practical Nurse

NPI 1013178177

Licensed Practical Nurse

Matya Riley , FNP-C

Nurse Practitioner - Family

NPI 1013541143

Family Nurse Practitioner (Certified)

Addie Smith , LSW

Social Worker

NPI 1013704584

Licensed Social Worker

Michelle Hanson , LCPC

Counselor - Professional

NPI 1023870607

Licensed Clinical Professional Counselor

Kelly Thurston , LPC

Counselor - Professional

NPI 1053173658

Licensed Professional Counselor

Carleigh Baker

Social Worker - Clinical

NPI 1053261248

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 07, 2024

Record deactivated on February 07, 2024

NPI Profile Active February 04, 2015

NPI status registered as active in NPPES database

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Updated Practice Location February 04, 2015

Registered at 151 N MAIN ST, DECATUR, IL 625231206 (Tel: 2173622002)

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Updated Business Mailing Address February 04, 2015

Registered at 151 N MAIN ST, DECATUR, IL 625231206 (Tel: 2173622002)

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Provider Name / Credentials Updated February 04, 2015

Recorded as TIFFANY WARE, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2015

Licensed Practical Nurse (License #043107695 in IL)

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Initial NPI Registration & Enumeration May 29, 2014

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: 1730591421
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2014
Last Update: February 04, 2015
Deactivation Date: February 07, 2024

Mailing Address

151 N Main St

Decatur, IL 625231206

Phone: 2173622002

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.