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Deactivated NPI 1063806396 Deactivated / Inactive NPI Female Practitioner

Michelle Vincent , LPN

Licensed Practical Nurse • Mastic, 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, Michelle Vincent has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 25, 2015
NPI Deactivation Date March 01, 2019
Total Practice Duration ~4 Years of Practice (2015 – 2019)

Professional Overview & Biography Verified Profile Summary

Michelle Vincent, LPN was a registered Licensed Practical Nurse practicing in Mastic, NY. Throughout an active medical career spanning 4 years, Michelle Vincent provided care at the practice location at 63 STRAFFORD ST until profile deactivation on 2019-03-01.

Practice Location & Contact Primary Location

Practice Address

63 Strafford St

Mastic, NY 119504526

Telephone 6318713379

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Mastic, NY

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

Practicing in Mastic, 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 321025

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 March 01, 2019

Record deactivated on March 01, 2019

NPI Profile Active March 25, 2015

NPI status registered as active in NPPES database

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Updated Practice Location March 25, 2015

Registered at 63 STRAFFORD ST, MASTIC, NY 119504526 (Tel: 6318713379)

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Updated Business Mailing Address March 25, 2015

Registered at 63 STRAFFORD ST, MASTIC, NY 119504526 (Tel: 6318713379)

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Provider Name / Credentials Updated March 25, 2015

Recorded as MICHELLE VINCENT, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2015

Licensed Practical Nurse (License #321025 in NY)

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Initial NPI Registration & Enumeration March 25, 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: 1063806396
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2015
Last Update: March 25, 2015
Deactivation Date: March 01, 2019

Mailing Address

63 Strafford St

Mastic, NY 119504526

Phone: 6318713379

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.