EXCLUDEDPROVIDER
Individual Revocation

Nicolas J Jr Denis

South Daytona, FL 32119

Public HHS-OIG LEIE exclusion record

Nicolas J Jr Denis of South Daytona, FL is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1619485455 with a primary specialty of Massage Therapist. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Nicolas J Jr Denis is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of November 19, 2020.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
South Daytona, FL 32119
Exclusion date
November 19, 2020
Exclusion type
Revocation (1128b4)
NPI
1619485455

Record summary

Nicolas J Jr Denis appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with South Daytona, Florida. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is November 19, 2020, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateNovember 19, 2020
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1619485455
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with South Daytona, FL 32119. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Therapist.

NPI Registry context

The LEIE record lists NPI 1619485455. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Massage Therapist (225700000X). Registered practice location: Ormond Beach, FL. NPI enumeration date: Jan 15, 2018. NPPES status: Active.

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

Other excluded providers in South Daytona, FL

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a South Daytona, FL address.

Denise L Goff Individual Revocation
South Daytona, FL · License revocation, suspension, or surrender · Excluded Apr 2006
Central Florida Ear & Hearing Entity Program Crime
South Daytona, FL · Conviction of program-related crimes · Excluded Dec 1988

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

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Related

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