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Deactivated NPI 1720307341 Deactivated / Inactive NPI Female Practitioner

Sherrie Lynn Paddock , RN

Licensed Practical Nurse • Syracuse, 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, Sherrie Paddock has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 21, 2010
NPI Deactivation Date January 08, 2019
Total Practice Duration ~9 Years of Practice (2010 – 2019)

Professional Overview & Biography Verified Profile Summary

Sherrie Paddock, RN was a registered Licensed Practical Nurse practicing in Syracuse, NY. Throughout an active medical career spanning 9 years, Sherrie Paddock provided care at the practice location at 2105 W GENESEE ST until profile deactivation on 2019-01-08.

Practice Location & Contact Primary Location

Practice Address

2105 W Genesee St

Syracuse, NY 132191698

Telephone 3154683239
Fax 3154682917
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Syracuse, NY

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

Practicing in Syracuse, 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 287331

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
Angela Booker , LPN

Licensed Practical Nurse

NPI 1023321494

Licensed Practical Nurse

Sharon Trivison , LPN

Licensed Practical Nurse

NPI 1043537137

Licensed Practical Nurse

Barbara Trotter , LPN

Licensed Practical Nurse

NPI 1073877478

Licensed Practical Nurse

Joeann Haste-Bentley

Licensed Practical Nurse

NPI 1073981254
Theo Dean , RN

Registered Nurse

NPI 1104171461

Registered Nurse

Martha Kicak , LPN

Licensed Practical Nurse

NPI 1104230317

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 January 08, 2019

Record deactivated on January 08, 2019

NPI Profile Active May 21, 2010

NPI status registered as active in NPPES database

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Updated Practice Location May 21, 2010

Registered at 2105 W GENESEE ST, SYRACUSE, NY 132191698 (Tel: 3154683239)

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Updated Business Mailing Address May 21, 2010

Registered at 127 V0LNEY STREET, PHOENIX, NY 13135 (Tel: 3156954276)

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Provider Name / Credentials Updated May 21, 2010

Recorded as SHERRIE PADDOCK, RN

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2010

Licensed Practical Nurse (License #287331 in NY)

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Initial NPI Registration & Enumeration May 21, 2010

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: 1720307341
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2010
Last Update: May 21, 2010
Deactivation Date: January 08, 2019

Mailing Address

127 V0lney Street

Phoenix, NY 13135

Phone: 3156954276

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.