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Deactivated NPI 1154869188 Deactivated / Inactive NPI Female Practitioner

Judy Criswell , LPN

Licensed Practical Nurse • Celina, OH

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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, Judy Criswell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 09, 2017
NPI Deactivation Date July 21, 2022
Total Practice Duration ~5 Years of Practice (2017 – 2022)

Professional Overview & Biography Verified Profile Summary

Judy Criswell, LPN was a registered Licensed Practical Nurse practicing in Celina, OH. Throughout an active medical career spanning 5 years, Judy Criswell provided care at the practice location at 2332 STATE ROUTE 29 until profile deactivation on 2022-07-21.

Practice Location & Contact Primary Location

Practice Address

2332 State Route 29

Celina, OH 458229258

Telephone 4193050219

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Celina, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Celina, OH (13034 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 OH LPN.143320.MEDS-IV

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.

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 July 21, 2022

Record deactivated on July 21, 2022

NPI Profile Active February 09, 2017

NPI status registered as active in NPPES database

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Updated Practice Location February 09, 2017

Registered at 2332 STATE ROUTE 29, CELINA, OH 458229258 (Tel: 4193050219)

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Updated Business Mailing Address February 09, 2017

Registered at 2332 STATE ROUTE 29, CELINA, OH 458229258 (Tel: 4193050219)

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Provider Name / Credentials Updated February 09, 2017

Recorded as JUDY CRISWELL, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2017

Licensed Practical Nurse (License #LPN.143320.MEDS-IV in OH)

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Initial NPI Registration & Enumeration February 09, 2017

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: 1154869188
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2017
Last Update: February 09, 2017
Deactivation Date: July 21, 2022

Mailing Address

2332 State Route 29

Celina, OH 458229258

Phone: 4193050219

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.