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Deactivated NPI 1790950673 Deactivated / Inactive NPI Female Practitioner

Desiree D Plummer , LPN

Licensed Practical Nurse • State Island, 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, Desiree Plummer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 23, 2008
NPI Deactivation Date March 27, 2025
Total Practice Duration ~17 Years of Practice (2008 – 2025)

Professional Overview & Biography Verified Profile Summary

Desiree Plummer, LPN was a registered Licensed Practical Nurse practicing in State Island, NY. Throughout an active medical career spanning 17 years, Desiree Plummer provided care at the practice location at 518 KISSEL AVE until profile deactivation on 2025-03-27.

Practice Location & Contact Primary Location

Practice Address

518 Kissel Ave

State Island, NY 10309

Telephone 7189819606

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in State Island, NY

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

Practicing in State Island, 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 NJ 1860801

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

4 Associated Practitioners
Robin Bishop , LPN

Licensed Practical Nurse

NPI 1053750158

Licensed Practical Nurse

Felicia Perez

Licensed Practical Nurse

NPI 1538306501
Desiree Sampson , RN

Registered Nurse

NPI 1891930640

Registered Nurse

Beverly Pugh , LPN

Licensed Practical Nurse

NPI 1912106188

Licensed Practical 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 March 27, 2025

Record deactivated on March 27, 2025

NPI Profile Active April 23, 2008

NPI status registered as active in NPPES database

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Updated Practice Location April 23, 2008

Registered at 518 KISSEL AVE, STATE ISLAND, NY 10309 (Tel: 7189819606)

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Updated Business Mailing Address April 23, 2008

Registered at 4309 AVE I, BROOKLYN, NY 11210 (Tel: 7183773543)

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Provider Name / Credentials Updated April 23, 2008

Recorded as DESIREE PLUMMER, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2008

Licensed Practical Nurse (License #1860801 in NJ)

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Initial NPI Registration & Enumeration April 23, 2008

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: 1790950673
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2008
Last Update: April 23, 2008
Deactivation Date: March 27, 2025

Mailing Address

4309 Ave I

Brooklyn, NY 11210

Phone: 7183773543

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.