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Active NPI 1356604789 Individual Practitioner Female Practitioner

Charissa Davis , LPN

Licensed Practical Nurse • Valley Stream, NY

Professional Overview & Biography Verified Profile Summary

Charissa Davis, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Valley Stream, NY. Practice services are available at 13 CLEVELAND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13 Cleveland St

Valley Stream, NY 115806003

Telephone 7189784999
Associated Practice Facility / Clinic
🏢 Jos-El Care Agency, Inc Facility NPI 1700925674

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Valley Stream, NY

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

Practicing in Valley Stream, 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 239216

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Lpn License
239216 (NY)

Practice Associates & Co-Workers

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

16 Associated Practitioners
Sandradene Lyn , LPN

Licensed Practical Nurse

NPI 1043579139

Licensed Practical Nurse

Ma. Catherine Gonzaga , RN, BSN

Registered Nurse - Home Health

NPI 1053940254

Registered Nurse, Bachelor of Science in Nursing

Kayla Christie , LPN

Licensed Practical Nurse

NPI 1255678710

Licensed Practical Nurse

Whitney Wright

Licensed Practical Nurse

NPI 1265279913
Abiola Barker

Licensed Practical Nurse

NPI 1336796069
Stacyann Morrison

Licensed Practical Nurse

NPI 1366861171

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 20, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2012

Registered at 13 CLEVELAND ST, VALLEY STREAM, NY 115806003 (Tel: 7189784999)

📍
Updated Business Mailing Address June 20, 2012

Registered at 618 BEACH 67TH ST, ARVERNE, NY 116921313 (Tel: 7184742026)

👤
Provider Name / Credentials Updated June 20, 2012

Recorded as CHARISSA DAVIS, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2012

Licensed Practical Nurse (License #239216 in NY)

🟢
Initial NPI Registration & Enumeration June 20, 2012

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: 1356604789
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2012
Last Update: June 20, 2012
Sole Proprietor: No

Mailing Address

618 Beach 67th St

Arverne, NY 116921313

Phone: 7184742026

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.