Renee Davis
Licensed Practical Nurse • Mastic, NY
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, Renee Davis has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Renee Davis was a registered Licensed Practical Nurse practicing in Mastic, NY. Throughout an active medical career spanning 17 years, Renee Davis provided care at the practice location at 168 SOUTHAVEN AVE until profile deactivation on 2025-05-22.
Practice Location & Contact Primary Location
168 Southaven Ave
Mastic, NY 119504011
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Mastic, NY
Practicing in Mastic, NY (23738 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
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
Record deactivated on May 22, 2025
Registered at 7825 ANGELE LN APT 1427, CHARLOTTE, NC 282623655 (Tel: 6317726762)
Registered at 7825 ANGELE LN APT 1427, CHARLOTTE, NC 282623655 (Tel: 6317726762)
NPI status registered as active in NPPES database
Registered at 168 SOUTHAVEN AVE, MASTIC, NY 119504011 (Tel: 6317726762)
Registered at 168 SOUTHAVEN AVE, MASTIC, NY 119504011 (Tel: 6317726762)
Recorded as RENEE DAVIS
Licensed Practical Nurse (License #257593 in NY)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
Sign in to leave a review for Renee Davis
Only verified registered users can submit ratings, post feedback, and upload facility photos.
NPI Administrative Meta
Mailing Address
168 Southaven Ave
Mastic, NY 119504011
Phone: 6317726762
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.