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Deactivated NPI 1477834323 Deactivated / Inactive NPI Male Practitioner

David Alex Vdovin , LPN

Licensed Practical Nurse • Auburn, WA

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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, David Vdovin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 06, 2011
NPI Deactivation Date June 16, 2021
Total Practice Duration ~10 Years of Practice (2011 – 2021)

Professional Overview & Biography Verified Profile Summary

David Vdovin, LPN was a registered Licensed Practical Nurse practicing in Auburn, WA. Throughout an active medical career spanning 10 years, David Vdovin provided care at the practice location at 4240 AUBURN WAY N until profile deactivation on 2021-06-16.

Practice Location & Contact Primary Location

Practice Address

4240 Auburn Way N
Sound Mental Health

Auburn, WA 980021311

Telephone 2538768900
Fax 2538768910
Associated Practice Facility / Clinic
🏢 Sound Mental Health Facility NPI 1568652220

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Auburn, WA

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

Practicing in Auburn, WA (1730 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 WA LP60108382

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

40 Associated Practitioners
Patricia Dickerson , BA, AAC

Counselor - Mental Health

NPI 1043369507

Bachelor of Arts, AAC

Sarah Durham , LMHC

Counselor - Mental Health

NPI 1043377971

Licensed Mental Health Counselor

Randall Beaver , MA, MHP

Counselor - Mental Health

NPI 1073821575

Master of Arts, Mental Health Practitioner

Adaje Ellison

Counselor - Mental Health

NPI 1083147631
NPI 1083283063
Judith Austin , RC

Counselor - Professional

NPI 1093864134

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 June 16, 2021

Record deactivated on June 16, 2021

NPI Profile Active March 21, 2013

NPI status registered as active in NPPES database

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Updated Practice Location March 21, 2013

Registered at 4240 AUBURN WAY N, SOUND MENTAL HEALTH, AUBURN, WA 980021311 (Tel: 2538768900)

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Updated Business Mailing Address March 21, 2013

Registered at 1600 E OLIVE ST, SOUND MENTAL HEALTH, SEATTLE, WA 981222735 (Tel: 2063022200)

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Provider Name / Credentials Updated March 21, 2013

Recorded as DAVID VDOVIN, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2013

Licensed Practical Nurse (License #LP60108382 in WA)

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Initial NPI Registration & Enumeration September 06, 2011

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: 1477834323
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2011
Last Update: March 21, 2013
Deactivation Date: June 16, 2021

Mailing Address

1600 E Olive St, Sound Mental Health

Seattle, WA 981222735

Phone: 2063022200

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.