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Deactivated NPI 1023517836 Deactivated / Inactive NPI Female Practitioner

Barbara Renna

Licensed Practical Nurse • Smithtown, 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, Barbara Renna has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 07, 2018
NPI Deactivation Date January 28, 2020
Total Practice Duration ~2 Years of Practice (2018 – 2020)

Professional Overview & Biography Verified Profile Summary

Barbara Renna was a registered Licensed Practical Nurse practicing in Smithtown, NY. Throughout an active medical career spanning 2 years, Barbara Renna provided care at the practice location at 17 BANK AVE until profile deactivation on 2020-01-28.

Practice Location & Contact Primary Location

Practice Address

17 Bank Ave

Smithtown, NY 117872703

Telephone 6312655300
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Smithtown, NY

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

Practicing in Smithtown, 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 330513

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

40 Associated Practitioners
Julie Gulotta , LPN

Licensed Practical Nurse

NPI 1003205352

Licensed Practical Nurse

Eulalie Thompkins , LPN

Licensed Practical Nurse

NPI 1013231489

Licensed Practical Nurse

Tequila Robinson

Registered Nurse

NPI 1013257104
Kellie Borriello , LPN

Licensed Practical Nurse

NPI 1013411487

Licensed Practical Nurse

Neazul Prantic , RN

Registered Nurse

NPI 1023599826

Registered Nurse

Madalyn Murphy

Registered Nurse - Home Health

NPI 1023620036

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 28, 2020

Record deactivated on January 28, 2020

NPI Profile Active February 07, 2018

NPI status registered as active in NPPES database

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Updated Practice Location February 07, 2018

Registered at 17 BANK AVE, SMITHTOWN, NY 117872703 (Tel: 6312655300)

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Updated Business Mailing Address February 07, 2018

Registered at 39 PRESCOTT ST, GARDEN CITY, NY 115301736 (Tel: 6464200010)

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Provider Name / Credentials Updated February 07, 2018

Recorded as BARBARA RENNA

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2018

Licensed Practical Nurse (License #330513 in NY)

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Initial NPI Registration & Enumeration February 07, 2018

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: 1023517836
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2018
Last Update: February 07, 2018
Deactivation Date: January 28, 2020

Mailing Address

39 Prescott St

Garden City, NY 115301736

Phone: 6464200010

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.