Active NPI
Rakilah M Hayes
- Phlebotomy Technician
- Fleming Island, FL
National Provider Identifier
1003587908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- K9R3E3J6
- Practice address
- 1500 Calming Water Dr Unit 2803
Fleming Island, FL 32003-3472 - Phone
- (833) 742-9371
- NPI assigned
- Sep 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | K9R3E3J6 | FL | Primary |
Addresses
Primary practice location
1500 Calming Water Dr Unit 2803
Fleming Island, FL 32003-3472
Mailing address
1500 Calming Water Dr Unit 2803
Fleming Island, FL 32003-3472
Phone (833) 742-9371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K9R3E3J6 | FL | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1003587908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 CALMING WATER DR UNIT 2803",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320033472",
"telephone_number": "833-742-9371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CALMING WATER DR UNIT 2803",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320033472",
"telephone_number": "833-742-9371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "RAKILAH",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-22",
"last_updated": "2021-09-22",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "FL",
"license": "K9R3E3J6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fleming Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.