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Deactivated NPI 1801081690 Deactivated / Inactive NPI Female Practitioner

Eileen Gavan , LPN

Licensed Practical Nurse • Carmel, NY

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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, Eileen Gavan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 13, 2007
NPI Deactivation Date December 17, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Eileen Gavan, LPN was a registered Licensed Practical Nurse practicing in Carmel, NY. Throughout an active medical career spanning 11 years, Eileen Gavan provided care at the practice location at 5302 APPLEWOOD CIR until profile deactivation on 2018-12-17.

Practice Location & Contact Primary Location

Practice Address

5302 Applewood Cir

Carmel, NY 105122643

Telephone 8452280043

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Carmel, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
38 Specialists

Practicing in Carmel, NY (23738 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 NY 123491-1

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.

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 December 17, 2018

Record deactivated on December 17, 2018

NPI Profile Active September 13, 2007

NPI status registered as active in NPPES database

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Updated Practice Location September 13, 2007

Registered at 5302 APPLEWOOD CIR, CARMEL, NY 105122643 (Tel: 8452280043)

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Updated Business Mailing Address September 13, 2007

Registered at 5302 APPLEWOOD CIR, CARMEL, NY 105122643 (Tel: 8452280043)

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Provider Name / Credentials Updated September 13, 2007

Recorded as EILEEN GAVAN, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2007

Licensed Practical Nurse (License #123491-1 in NY)

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Initial NPI Registration & Enumeration September 13, 2007

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: 1801081690
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2007
Last Update: September 13, 2007
Deactivation Date: December 17, 2018

Mailing Address

5302 Applewood Cir

Carmel, NY 105122643

Phone: 8452280043

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.