Individual provider Active NPI

Mequel Henderson, PHLEBOTOMIST

  • Phlebotomy Technician
  • Bessemer, AL
National Provider Identifier
1063133296
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
G2Y3J4L5 Issued in AL
Practice address
833 Allison Bonnett Memorial Dr Ste 151
Bessemer, AL 35023-1884
Phone
(480) 791-6233
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X G2Y3J4L5 AL Primary

Addresses

Primary practice location

833 Allison Bonnett Memorial Dr Ste 151
Bessemer, AL 35023-1884

Mailing address

833 Allison Bonnett Memorial Dr Ste 151
Bessemer, AL 35023-1884
Phone (480) 791-6233

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

LicenseStateTypeSpecialty
G2Y3J4L5ALMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Wellness Lab Phlebotomy CurrentSince Sep 11, 2022 Accepting new patients

Locations

833 Allison Bonnett Memorial Dr
Ste 151
Bessemer, AL 35023
Phone (480) 791-6233

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1063133296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 ALLISON BONNETT MEMORIAL DR STE 151",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350231884",
            "telephone_number": "480-791-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 ALLISON BONNETT MEMORIAL DR STE 151",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350231884",
            "telephone_number": "480-791-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "MEQUEL",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "AL",
            "license": "G2Y3J4L5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.