Kimberly A Smith, PHLEBOTOMIST

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Practice address

56 Lancaster Est
Mount Joy, PA 17552-1704

Phone

(717) 928-8802

Fax

(717) 200-9630

NPI assigned

Jul 30, 2021

Last updated

Jul 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sticks on Demand, Inc

  • Phlebotomy Technician
  • Lancaster, PA
  • NPI 1881395853
  NPD Authorized official

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1053084301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 LITITZ PIKE # 1002",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014340",
            "telephone_number": "717-928-8802",
            "fax_number": "717-200-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 LANCASTER EST",
            "city": "MOUNT JOY",
            "state": "PA",
            "postal_code": "175521704",
            "telephone_number": "717-928-8802",
            "fax_number": "717-200-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Shaffer, PT
• Rosemirflore Mandersa Sigue
• Sloan's Pharmacy, Inc
• Sloan's Pharmacy, Inc
• Haven Smith
• Jamie Ellen Snyder, COTA
• Lindsey M Sobeck, MS, LPC
• Andrea L Stern, MD
• Mika Stiefel, M.S., CCC-SLP
• Brian Teed, PHARMD

• Phlebotomy Technician in Mount Joy, PA
• Providers in Mount Joy, PA by specialty
• Phlebotomy Technician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.