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Deactivated NPI 1922587088 Deactivated / Inactive NPI Female Practitioner

Phyllis Kay Ford

Licensed Practical Nurse • Temple, 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, Phyllis Ford has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 09, 2018
NPI Deactivation Date January 28, 2022
Total Practice Duration ~4 Years of Practice (2018 – 2022)

Professional Overview & Biography Verified Profile Summary

Phyllis Ford was a registered Licensed Practical Nurse practicing in Temple, TX. Throughout an active medical career spanning 4 years, Phyllis Ford provided care at the practice location at 990 MARLANDWOOD RD until profile deactivation on 2022-01-28.

Practice Location & Contact Primary Location

Practice Address

990 Marlandwood Rd

Temple, TX 765023365

Telephone 2547738830

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Temple, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Temple, TX (727 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 TN 0000072563

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

4 Associated Practitioners
Elena Araoz , LVN

Licensed Vocational Nurse

NPI 1033691894

Licensed Vocational Nurse

Monica Collins

Licensed Vocational Nurse

NPI 1356908875
Tiffany Jackson , LVN

Licensed Vocational Nurse

NPI 1477036796

Licensed Vocational Nurse

Dolores Call , LVN

Licensed Vocational Nurse

NPI 1972084101

Licensed Vocational Nurse

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 January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active August 09, 2018

NPI status registered as active in NPPES database

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Updated Practice Location August 09, 2018

Registered at 990 MARLANDWOOD RD, TEMPLE, TX 765023365 (Tel: 2547738830)

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Updated Business Mailing Address August 09, 2018

Registered at 990 MARLANDWOOD RD, TEMPLE, TX 765023365 (Tel: 2547738830)

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Provider Name / Credentials Updated August 09, 2018

Recorded as PHYLLIS FORD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2018

Licensed Practical Nurse (License #0000072563 in TN)

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Initial NPI Registration & Enumeration August 09, 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: 1922587088
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2018
Last Update: August 09, 2018
Deactivation Date: January 28, 2022

Mailing Address

990 Marlandwood Rd

Temple, TX 765023365

Phone: 2547738830

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.