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Active NPI 1528937984 Individual Practitioner Female Practitioner

Lisette B Durham , LPN

Licensed Practical Nurse • Cedarhurst, NY

Professional Overview & Biography Verified Profile Summary

Lisette Durham, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Cedarhurst, NY. Practice services are available at 380 ROCKAWAY TPKE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

380 Rockaway Tpke

Cedarhurst, NY 115161122

Telephone 6312084460
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Cedarhurst, NY

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

Practicing in Cedarhurst, 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

CMS Verified: 2025-11-03
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 334800

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

22 Associated Practitioners
Diego Cruz

Social Worker

NPI 1003620527
Gabriela Martinez

Licensed Practical Nurse

NPI 1033095930
NPI 1164128773

Licensed Master Social Worker

Chasity Jenkins

Social Worker

NPI 1174482772
Kelly Guncay

Licensed Practical Nurse

NPI 1194617225
Shaindel Schwed , BSN, RN

Registered Nurse - Infusion Therapy

NPI 1235024191

Bachelor of Science in Nursing, Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 03, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location November 03, 2025

Registered at 380 ROCKAWAY TPKE, CEDARHURST, NY 115161122 (Tel: 6312084460)

📍
Updated Business Mailing Address November 03, 2025

Registered at 11573 227TH ST, CAMBRIA HEIGHTS, NY 114111428 (Tel: 6313361535)

👤
Provider Name / Credentials Updated November 03, 2025

Recorded as LISETTE DURHAM, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2025

Licensed Practical Nurse (License #334800 in NY)

🟢
Initial NPI Registration & Enumeration November 03, 2025

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: 1528937984
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2025
Last Update: November 03, 2025
Sole Proprietor: Yes

Mailing Address

11573 227th St

Cambria Heights, NY 114111428

Phone: 6313361535

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.