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Deactivated NPI 1407180649 Deactivated / Inactive NPI Female Practitioner

Clara Mae Smith

Licensed Practical Nurse • Johnstown, 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, Clara Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 21, 2009
NPI Deactivation Date February 13, 2025
Total Practice Duration ~16 Years of Practice (2009 – 2025)

Professional Overview & Biography Verified Profile Summary

Clara Smith was a registered Licensed Practical Nurse practicing in Johnstown, NY. Throughout an active medical career spanning 16 years, Clara Smith provided care at the practice location at 3462 STATE HIGHWAY 29 until profile deactivation on 2025-02-13.

Practice Location & Contact Primary Location

Practice Address

3462 State Highway 29

Johnstown, NY 12095

Telephone 5187624736

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Johnstown, NY

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

Practicing in Johnstown, 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 051605-1

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 February 13, 2025

Record deactivated on February 13, 2025

NPI Profile Active September 21, 2009

NPI status registered as active in NPPES database

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Updated Practice Location September 21, 2009

Registered at 3462 STATE HIGHWAY 29, JOHNSTOWN, NY 12095 (Tel: 5187624736)

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Updated Business Mailing Address September 21, 2009

Registered at 3462 STATE HIGHWAY 29, JOHNSTOWN, NY 12095 (Tel: 5187624736)

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Provider Name / Credentials Updated September 21, 2009

Recorded as CLARA SMITH

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2009

Licensed Practical Nurse (License #051605-1 in NY)

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Initial NPI Registration & Enumeration September 21, 2009

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: 1407180649
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2009
Last Update: September 21, 2009
Deactivation Date: February 13, 2025

Mailing Address

3462 State Highway 29

Johnstown, NY 12095

Phone: 5187624736

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.