Gwendolene Simon , LPN
Licensed Practical Nurse • Valley Stream, NY
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, Gwendolene Simon has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Gwendolene Simon, LPN was a registered Licensed Practical Nurse practicing in Valley Stream, NY. Throughout an active medical career spanning 14 years, Gwendolene Simon provided care at the practice location at 13 CLEVELAND ST until profile deactivation on 2026-02-26.
Practice Location & Contact Primary Location
13 Cleveland St
Valley Stream, NY 115806003
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Valley Stream, NY
Practicing in Valley Stream, NY (23738 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
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
Licensed Practical Nurse
Licensed Practical Nurse
Registered Nurse
Pediatrics
Registered Nurse
Licensed Practical Nurse
Licensed Practical Nurse
Licensed Practical Nurse
Registered Nurse
Registered Nurse
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 26, 2026
NPI status registered as active in NPPES database
Registered at 13 CLEVELAND ST, VALLEY STREAM, NY 115806003 (Tel: 5168230759)
Registered at 13 CLEVELAND ST, VALLEY STREAM, NY 115806003 (Tel: 5168230759)
Recorded as GWENDOLENE SIMON, LPN
Licensed Practical Nurse (License #312963 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
13 Cleveland St
Valley Stream, NY 115806003
Phone: 5168230759
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