Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1396051975 Deactivated / Inactive NPI Female Practitioner

Deborah Elizabeth Mudge , LPN

Licensed Practical Nurse • Manlius, 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, Deborah Mudge has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 20, 2010
NPI Deactivation Date January 31, 2024
Total Practice Duration ~14 Years of Practice (2010 – 2024)

Professional Overview & Biography Verified Profile Summary

Deborah Mudge, LPN was a registered Licensed Practical Nurse practicing in Manlius, NY. Throughout an active medical career spanning 14 years, Deborah Mudge provided care at the practice location at 8235 TURNSTONE DR until profile deactivation on 2024-01-31.

Practice Location & Contact Primary Location

Practice Address

8235 Turnstone Dr

Manlius, NY 131042138

Telephone 3156824034

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Manlius, NY

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

Practicing in Manlius, 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 167103

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

1 Associated Practitioners
Marie Richard , RN

Registered Nurse - Neuroscience

NPI 1528373628

Registered Nurse

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 31, 2024

Record deactivated on January 31, 2024

NPI Profile Active August 20, 2010

NPI status registered as active in NPPES database

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Updated Practice Location August 20, 2010

Registered at 8235 TURNSTONE DR, MANLIUS, NY 131042138 (Tel: 3156824034)

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Updated Business Mailing Address August 20, 2010

Registered at 202 HOMESTEAD CIR, CHITTENANGO, NY 130371038 (Tel: 3154205052)

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Provider Name / Credentials Updated August 20, 2010

Recorded as DEBORAH MUDGE, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2010

Licensed Practical Nurse (License #167103 in NY)

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Initial NPI Registration & Enumeration August 20, 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: 1396051975
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2010
Last Update: August 20, 2010
Deactivation Date: January 31, 2024

Mailing Address

202 Homestead Cir

Chittenango, NY 130371038

Phone: 3154205052

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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