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Deactivated NPI 1548607658 Deactivated / Inactive NPI Female Practitioner

Shaland Isom

Licensed Practical Nurse • Lorain, 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, Shaland Isom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 30, 2013
NPI Deactivation Date November 15, 2023
Total Practice Duration ~10 Years of Practice (2013 – 2023)

Professional Overview & Biography Verified Profile Summary

Shaland Isom was a registered Licensed Practical Nurse practicing in Lorain, OH. Throughout an active medical career spanning 10 years, Shaland Isom provided care at the practice location at 5033 CLIFTON AVE until profile deactivation on 2023-11-15.

Practice Location & Contact Primary Location

Practice Address

5033 Clifton Ave

Lorain, OH 440553046

Telephone 4409896898

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Lorain, OH

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

Practicing in Lorain, 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 143147

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 November 15, 2023

Record deactivated on November 15, 2023

NPI Profile Active May 30, 2013

NPI status registered as active in NPPES database

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Updated Practice Location May 30, 2013

Registered at 5033 CLIFTON AVE, LORAIN, OH 440553046 (Tel: 4409896898)

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Updated Business Mailing Address May 30, 2013

Registered at 5033 CLIFTON AVE, LORAIN, OH 440553046 (Tel: 4409896898)

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Provider Name / Credentials Updated May 30, 2013

Recorded as SHALAND ISOM

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2013

Licensed Practical Nurse (License #143147 in OH)

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Initial NPI Registration & Enumeration May 30, 2013

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: 1548607658
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2013
Last Update: May 30, 2013
Deactivation Date: November 15, 2023

Mailing Address

5033 Clifton Ave

Lorain, OH 440553046

Phone: 4409896898

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.