Active NPI
Myisa Cardria Seymore, PBT (ASCP)
- Phlebotomy Technician
- Phoenix, AZ
National Provider Identifier
1063344513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 62536
- Practice address
- 10171 N 19TH Ave Ste 10
Phoenix, AZ 85021-1940 - Phone
- (623) 463-7145
- NPI assigned
- Jun 1, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 62536 | OH | Primary |
Addresses
Primary practice location
10171 N 19TH Ave Ste 10
Phoenix, AZ 85021-1940
Mailing address
10171 N 19TH Ave Ste 10
Phoenix, AZ 85021-1940
Phone (623) 463-7145
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 |
|---|---|---|---|
| 62536 | OH | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1063344513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10171 N 19TH AVE STE 10",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850211940",
"telephone_number": "623-463-7145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10171 N 19TH AVE STE 10",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850211940",
"telephone_number": "623-463-7145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEYMORE",
"first_name": "MYISA",
"middle_name": "CARDRIA",
"credential": "PBT (ASCP)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-01",
"last_updated": "2026-06-01",
"certification_date": "2026-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "OH",
"license": "62536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.