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Deactivated NPI 1548648629 Deactivated / Inactive NPI Female Practitioner

Caroline Harbor

Licensed Practical Nurse • Bowie, MD

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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, Caroline Harbor has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 11, 2015
NPI Deactivation Date March 29, 2017
Total Practice Duration ~2 Years of Practice (2015 – 2017)

Professional Overview & Biography Verified Profile Summary

Caroline Harbor was a registered Licensed Practical Nurse practicing in Bowie, MD. Throughout an active medical career spanning 2 years, Caroline Harbor provided care at the practice location at 10900 ELON DR until profile deactivation on 2017-03-29.

Practice Location & Contact Primary Location

Practice Address

10900 Elon Dr

Bowie, MD 207203556

Telephone 3013286048

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Bowie, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
39 Specialists

Practicing in Bowie, MD (636 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 DC LPN1006361

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

1 Associated Practitioners
Edward Harbor

Home Health Aide

NPI 1285017566

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 March 29, 2017

Record deactivated on March 29, 2017

NPI Profile Active May 11, 2015

NPI status registered as active in NPPES database

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Updated Practice Location May 11, 2015

Registered at 10900 ELON DR, BOWIE, MD 207203556 (Tel: 3013286048)

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Updated Business Mailing Address May 11, 2015

Registered at 10900 ELON DR, BOWIE, MD 207203556 (Tel: 2403286048)

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Provider Name / Credentials Updated May 11, 2015

Recorded as CAROLINE HARBOR

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2015

Licensed Practical Nurse (License #LPN1006361 in DC)

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Initial NPI Registration & Enumeration May 11, 2015

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: 1548648629
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2015
Last Update: May 11, 2015
Deactivation Date: March 29, 2017

Mailing Address

10900 Elon Dr

Bowie, MD 207203556

Phone: 2403286048

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.