Individual provider Active NPI

Brenda Faye Sims, CPT, CMA

  • Phlebotomy Technician
  • Falls Church, VA
National Provider Identifier
1053509943
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
36119494 Issued in MD
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
36119494MDMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Brenda Sims Clinical Medical Laboratory CurrentSince Jul 24, 2022 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.

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.

Verify at the official NPI Registry.