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Deactivated NPI 1376790501 Deactivated / Inactive NPI Female Practitioner

Iris Landa , LPN

Licensed Practical Nurse • East Patchogue, 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, Iris Landa has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 19, 2008
NPI Deactivation Date January 25, 2023
Total Practice Duration ~15 Years of Practice (2008 – 2023)

Professional Overview & Biography Verified Profile Summary

Iris Landa, LPN was a registered Licensed Practical Nurse practicing in East Patchogue, NY. Throughout an active medical career spanning 15 years, Iris Landa provided care at the practice location at 2 PONDVIEW DR until profile deactivation on 2023-01-25.

Practice Location & Contact Primary Location

Practice Address

2 Pondview Dr
Apt. 10

East Patchogue, NY 117726801

Telephone 6314479568

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in East Patchogue, NY

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

Practicing in East Patchogue, 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 194403

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 25, 2023

Record deactivated on January 25, 2023

NPI Profile Active August 19, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 19, 2008

Registered at 2 PONDVIEW DR, APT. 10, EAST PATCHOGUE, NY 117726801 (Tel: 6314479568)

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Updated Business Mailing Address August 19, 2008

Registered at 2 PONDVIEW DR, APT. 10, EAST PATCHOGUE, NY 117726801 (Tel: 6314479568)

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Provider Name / Credentials Updated August 19, 2008

Recorded as IRIS LANDA, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2008

Licensed Practical Nurse (License #194403 in NY)

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Initial NPI Registration & Enumeration August 19, 2008

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: 1376790501
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2008
Last Update: August 19, 2008
Deactivation Date: January 25, 2023

Mailing Address

2 Pondview Dr, Apt. 10

East Patchogue, NY 117726801

Phone: 6314479568

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.