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Deactivated NPI 1114149804 Deactivated / Inactive NPI Female Practitioner

Dawn Redhead , COTA

Specialist • Mount Vernon, 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, Dawn Redhead has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 03, 2007
NPI Deactivation Date June 19, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dawn Redhead, COTA was a registered Specialist practicing in Mount Vernon, NY. Throughout an active medical career spanning 11 years, Dawn Redhead provided care at the practice location at 243 S 10TH AVE until profile deactivation on 2018-06-19.

Practice Location & Contact Primary Location

Practice Address

243 S 10th Ave

Mount Vernon, NY 105503703

Telephone 8455649853
Fax 8455646974
Associated Practice Facility / Clinic
🏢 Kelly Hannon Facility NPI 1063519585

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Mount Vernon, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
46 Specialists

Practicing in Mount Vernon, NY (23296 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 005996-1

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Gloria Bent , MS RD CN

Dietitian, Registered

NPI 1023206125

MSRDCN

Tony Chukwueke , PTA

Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child

NPI 1023239605

Physical Therapist Assistant

NPI 1033307525
NPI 1063513166

Registered Physical Therapist

Leonie Genus Cowan , MS RDCN

Dietitian, Registered

NPI 1083836811

MSRDCN

NPI 1134304793

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 June 19, 2018

Record deactivated on June 19, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 243 S 10TH AVE, MOUNT VERNON, NY 105503703 (Tel: 8455649853)

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Updated Business Mailing Address July 08, 2007

Registered at 243 S 10TH AVE, MOUNT VERNON, NY 105503703 (Tel: 8455649853)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAWN REDHEAD, COTA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #005996-1 in NY)

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Initial NPI Registration & Enumeration May 03, 2007

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: 1114149804
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2007
Last Update: July 08, 2007
Deactivation Date: June 19, 2018

Mailing Address

243 S 10th Ave

Mount Vernon, NY 105503703

Phone: 8455649853

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.