Active NPI
Brenda Faye Sims, CPT, CMA
- Phlebotomy Technician
- Falls Church, VA
National Provider Identifier
1053509943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 36119494
- Practice address
- 6521 Arlington Blvd Ste 103
Falls Church, VA 22042-3016 - Phone
- (443) 850-9278
- Fax
- (410) 384-4256
- NPI assigned
- Oct 4, 2007
- Last updated
- Jul 21, 2022
- 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 |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | ||
| Phlebotomy Technician | 246RP1900X | 36119494 | MD | Primary |
Addresses
Primary practice location
6521 Arlington Blvd Ste 103
Falls Church, VA 22042-3016
Mailing address
7157 Stag Horn Path
Columbia, MD 21045-5224
Phone (443) 850-9278
Other practice location 1
7157 Stag Horn Path
Columbia, MD 21045-5224
Phone (443) 850-9278
Other names 1
- Ms. Brenda Faye Burriss
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
- Credentials
- Certified Medical Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36119494 | MD | MD | Phlebotomy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brenda Sims | Clinical Medical Laboratory | Current | Accepting new patients |
Locations
6521 Arlington Blvd
Ste 103
Falls Church, VA 22042
Phone (443) 850-9278
Organizations & group practices 1
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.
-
dba Mobile Phlebotomy Services
- Clinical Medical Laboratory
- Falls Church, VA
- NPI 1063952992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1053509943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7157 STAG HORN PATH",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455224",
"telephone_number": "443-850-9278",
"fax_number": "410-381-5007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6521 ARLINGTON BLVD STE 103",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423016",
"telephone_number": "443-850-9278",
"fax_number": "410-384-4256"
}
],
"practiceLocations": [
{
"address_1": "7157 Stag Horn Path",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MD",
"postal_code": "210455224",
"country_code": "US",
"telephone_number": "443-850-9278",
"fax_number": "410-381-5007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMS",
"first_name": "BRENDA",
"middle_name": "FAYE",
"name_prefix": "Ms.",
"credential": "CPT, CMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "MD",
"license": "36119494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "BURRISS",
"middle_name": "FAYE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.