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Deactivated NPI 1992805998 Deactivated / Inactive NPI Female Practitioner

Dr. Corinne Dille Davis , MD

Specialist • Saint Cloud, MN

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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, Dr. Corinne Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 22, 2006
NPI Deactivation Date November 06, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Corinne Davis, MD was a registered Specialist practicing in Saint Cloud, MN. Throughout an active medical career spanning 14 years, Dr. Davis provided care at the practice location at 4801 VETERANS DR until profile deactivation on 2020-11-06.

Practice Location & Contact Primary Location

Practice Address

4801 Veterans Dr

Saint Cloud, MN 563032015

Telephone 3202521670
Associated Practice Facility / Clinic
🏢 St. Cloud Vamc Facility NPI 1235187741

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Saint Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 48.0 Yrs
State Avg: 34.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Saint Cloud, MN (877 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MN 44313

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Patricia Meyer , LICSW

Social Worker - Clinical

NPI 1003088337

Licensed Independent Clinical Social Worker

NPI 1003292889

Doctor of Pharmacy (Pharm.D.)

Nicole Willis

Occupational Therapy Assistant

NPI 1003614652
Erin Bruntlett

Specialist/Technologist - Rehabilitation, Blind

NPI 1003621533
Moriah Lelou

Licensed Practical Nurse

NPI 1003635434
Sara Bukowski

Health & Wellness Coach

NPI 1003643289

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 November 06, 2020

Record deactivated on November 06, 2020

NPI Profile Active February 04, 2010

NPI status registered as active in NPPES database

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Updated Practice Location February 04, 2010

Registered at 4801 VETERANS DR, SAINT CLOUD, MN 563032015 (Tel: 3202521670)

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Updated Business Mailing Address February 04, 2010

Registered at 72545 242ND ST, DASSEL, MN 553253491 (Tel: 3202754841)

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Provider Name / Credentials Updated February 04, 2010

Recorded as CORINNE DAVIS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2010

Specialist (License #44313 in MN)

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Initial NPI Registration & Enumeration September 22, 2006

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: 1992805998
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2006
Last Update: February 04, 2010
Deactivation Date: November 06, 2020

Mailing Address

72545 242nd St

Dassel, MN 553253491

Phone: 3202754841

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.