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Deactivated NPI 1639660376 Deactivated / Inactive NPI Female Practitioner

Kellye Lyn Stoops , LVN

Licensed Vocational Nurse • Bacliff, TX

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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, Kellye Stoops has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 29, 2018
NPI Deactivation Date April 12, 2023
Total Practice Duration ~5 Years of Practice (2018 – 2023)

Professional Overview & Biography Verified Profile Summary

Kellye Stoops, LVN was a registered Licensed Vocational Nurse practicing in Bacliff, TX. Throughout an active medical career spanning 5 years, Kellye Stoops provided care at the practice location at 119 RUTH LN until profile deactivation on 2023-04-12.

Practice Location & Contact Primary Location

Practice Address

119 Ruth Ln

Bacliff, TX 775181429

Telephone 8326830352

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Vocational Nurse in Bacliff, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Bacliff, TX (7768 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 Vocational Nurse Primary Specialty

NUCC Taxonomy Code: 164X00000X

State License TX 102944

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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] 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 12, 2023

Record deactivated on April 12, 2023

NPI Profile Active May 29, 2018

NPI status registered as active in NPPES database

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Updated Practice Location May 29, 2018

Registered at 119 RUTH LN, BACLIFF, TX 775181429 (Tel: 8326830352)

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Updated Business Mailing Address May 29, 2018

Registered at 119 RUTH LN, BACLIFF, TX 775181429 (Tel: 8326830352)

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Provider Name / Credentials Updated May 29, 2018

Recorded as KELLYE STOOPS, LVN

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2018

Licensed Vocational Nurse (License #102944 in TX)

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Initial NPI Registration & Enumeration May 29, 2018

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: 1639660376
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2018
Last Update: May 29, 2018
Deactivation Date: April 12, 2023

Mailing Address

119 Ruth Ln

Bacliff, TX 775181429

Phone: 8326830352

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.