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Deactivated NPI 1891247227 Deactivated / Inactive NPI Male Practitioner

David Desmidt , LPN

Licensed Practical Nurse • Plymouth, WI

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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 Desmidt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 02, 2016
NPI Deactivation Date December 03, 2020
Total Practice Duration ~4 Years of Practice (2016 – 2020)

Professional Overview & Biography Verified Profile Summary

David Desmidt, LPN was a registered Licensed Practical Nurse practicing in Plymouth, WI. Throughout an active medical career spanning 4 years, David Desmidt provided care at the practice location at 38 CHERRY LN until profile deactivation on 2020-12-03.

Practice Location & Contact Primary Location

Practice Address

38 Cherry Ln

Plymouth, WI 530733450

Telephone 9209175602

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Plymouth, WI

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

Practicing in Plymouth, WI (1775 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 WI 311928-31

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 December 03, 2020

Record deactivated on December 03, 2020

NPI Profile Active November 02, 2016

NPI status registered as active in NPPES database

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Updated Practice Location November 02, 2016

Registered at 38 CHERRY LN, PLYMOUTH, WI 530733450 (Tel: 9209175602)

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Updated Business Mailing Address November 02, 2016

Registered at 38 CHERRY LN, PLYMOUTH, WI 530733450 (Tel: 9209175602)

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Provider Name / Credentials Updated November 02, 2016

Recorded as DAVID DESMIDT, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2016

Licensed Practical Nurse (License #311928-31 in WI)

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Initial NPI Registration & Enumeration November 02, 2016

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: 1891247227
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2016
Last Update: November 02, 2016
Deactivation Date: December 03, 2020

Mailing Address

38 Cherry Ln

Plymouth, WI 530733450

Phone: 9209175602

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.