Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1053798108 Deactivated / Inactive NPI Female Practitioner

Kadia Chisholm

Licensed Practical Nurse • Hempstead, 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, Kadia Chisholm has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 28, 2015
NPI Deactivation Date September 03, 2019
Total Practice Duration ~4 Years of Practice (2015 – 2019)

Professional Overview & Biography Verified Profile Summary

Kadia Chisholm was a registered Licensed Practical Nurse practicing in Hempstead, NY. Throughout an active medical career spanning 4 years, Kadia Chisholm provided care at the practice location at 50 CLINTON STREET (SUITE 601) until profile deactivation on 2019-09-03.

Practice Location & Contact Primary Location

Practice Address

50 Clinton Street (Suite 601)

Hempstead, NY 11550

Telephone 5169336485
Fax 8453529135

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Hempstead, NY

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

Practicing in Hempstead, 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 321399

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 September 03, 2019

Record deactivated on September 03, 2019

NPI Profile Active April 28, 2015

NPI status registered as active in NPPES database

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Updated Practice Location April 28, 2015

Registered at 50 CLINTON STREET (SUITE 601), HEMPSTEAD, NY 11550 (Tel: 5169336485)

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Updated Business Mailing Address April 28, 2015

Registered at 107 WILLOW AVE, HEMPSTEAD, NY 11550 (Tel: 5165956732)

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Provider Name / Credentials Updated April 28, 2015

Recorded as KADIA CHISHOLM

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2015

Licensed Practical Nurse (License #321399 in NY)

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Initial NPI Registration & Enumeration April 28, 2015

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: 1053798108
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 28, 2015
Last Update: April 28, 2015
Deactivation Date: September 03, 2019

Mailing Address

107 Willow Ave

Hempstead, NY 11550

Phone: 5165956732

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.