Active NPI
Takisha Rayford
- Phlebotomy Technician
- Toledo, OH
National Provider Identifier
1023629771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 20-1020R20
- Practice address
- 1128 Brookley Blvd
Toledo, OH 43607-3048 - Phone
- (419) 870-2179
- NPI assigned
- Aug 14, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | OH17366E405 | OH | |
| Phlebotomy Technician | 246RP1900X | 20-1020R20 | OH | Primary |
Addresses
Primary practice location
1128 Brookley Blvd
Toledo, OH 43607-3048
Mailing address
1128 Brookley Blvd
Toledo, OH 43607-3048
Phone (419) 870-2179
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 |
|---|---|---|---|
| 20-1020R20 | OH | MD | Phlebotomy Technician |
| OH17366E405 | OH | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1023629771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1128 BROOKLEY BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436073048",
"telephone_number": "419-870-2179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 BROOKLEY BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436073048",
"telephone_number": "419-870-2179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYFORD",
"first_name": "TAKISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-14",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "OH",
"license": "OH17366E405",
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "OH",
"license": "20-1020R20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.