Akimmie Lynn Lewis, PHLEBOTOMIST

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

R2J8Q3T2 Issued in MS

Practice address

1201 Highway 49 S Ste 5B
Richland, MS 39218-9438

Phone

(601) 665-8947

NPI assigned

Oct 3, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Akimmie Lynn Lewis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elite-Diagnostic LLC

  • Phlebotomy Technician
  • Richland, MS
  • NPI 1144049495

  Technician, Other

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1003635335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 HIGHWAY 49 S STE 5B",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392189438",
            "telephone_number": "601-665-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HIGHWAY 49 S STE 5B",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392189438",
            "telephone_number": "601-665-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "AKIMMIE",
        "middle_name": "LYNN",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "MS",
            "license": "R2J8Q3T2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AKIMMIE",
            "last_name": "LEWIS",
            "middle_name": "LYNN",
            "credential": "PHLEBOTOMIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Caroline McCormick, M.S. SLP

• All providers in Richland, MS
• Other Technician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.