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Deactivated NPI 1710289152 Deactivated / Inactive NPI Female Practitioner

Melissa A Phillips

Licensed Practical Nurse • Central Islip, 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, Melissa Phillips has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 17, 2010
NPI Deactivation Date January 13, 2021
Total Practice Duration ~11 Years of Practice (2010 – 2021)

Professional Overview & Biography Verified Profile Summary

Melissa Phillips was a registered Licensed Practical Nurse practicing in Central Islip, NY. Throughout an active medical career spanning 11 years, Melissa Phillips provided care at the practice location at 26 E CHERRY ST until profile deactivation on 2021-01-13.

Practice Location & Contact Primary Location

Practice Address

26 E Cherry St

Central Islip, NY 117223850

Telephone 6318353458

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Central Islip, NY

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

Practicing in Central Islip, 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 295727

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 January 13, 2021

Record deactivated on January 13, 2021

NPI Profile Active November 17, 2010

NPI status registered as active in NPPES database

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Updated Practice Location November 17, 2010

Registered at 26 E CHERRY ST, CENTRAL ISLIP, NY 117223850 (Tel: 6318353458)

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Updated Business Mailing Address November 17, 2010

Registered at 26 E CHERRY ST, CENTRAL ISLIP, NY 117223850 (Tel: 6318353458)

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Provider Name / Credentials Updated November 17, 2010

Recorded as MELISSA PHILLIPS

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2010

Licensed Practical Nurse (License #295727 in NY)

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Initial NPI Registration & Enumeration November 17, 2010

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: 1710289152
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2010
Last Update: November 17, 2010
Deactivation Date: January 13, 2021

Mailing Address

26 E Cherry St

Central Islip, NY 117223850

Phone: 6318353458

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.