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Deactivated NPI 1427601129 Deactivated / Inactive NPI Female Practitioner

Kristina D Mcclung

Licensed Practical Nurse • Massillon, 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, Kristina Mcclung has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 22, 2019
NPI Deactivation Date April 18, 2026
Total Practice Duration ~7 Years of Practice (2019 – 2026)

Professional Overview & Biography Verified Profile Summary

Kristina Mcclung was a registered Licensed Practical Nurse practicing in Massillon, OH. Throughout an active medical career spanning 7 years, Kristina Mcclung provided care at the practice location at 5233 REVERE AVE NW until profile deactivation on 2026-04-18.

Practice Location & Contact Primary Location

Practice Address

5233 Revere Ave Nw

Massillon, OH 446471231

Telephone 3307858762

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Massillon, OH

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

Practicing in Massillon, 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.171838.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 April 18, 2026

Record deactivated on April 18, 2026

NPI Profile Active July 22, 2019

NPI status registered as active in NPPES database

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Updated Practice Location July 22, 2019

Registered at 5233 REVERE AVE NW, MASSILLON, OH 446471231 (Tel: 3307858762)

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Updated Business Mailing Address July 22, 2019

Registered at 5233 REVERE AVE NW, MASSILLON, OH 446471231 (Tel: 3307858762)

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Provider Name / Credentials Updated July 22, 2019

Recorded as KRISTINA MCCLUNG

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2019

Licensed Practical Nurse (License #LPN.171838.MEDS-IV in OH)

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Initial NPI Registration & Enumeration July 22, 2019

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: 1427601129
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2019
Last Update: July 22, 2019
Deactivation Date: April 18, 2026

Mailing Address

5233 Revere Ave Nw

Massillon, OH 446471231

Phone: 3307858762

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.