Active NPI
Brandi Mikal Whaley, CLS, CPT
- Phlebotomy Technician
- Shreveport, LA
National Provider Identifier
1073292173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 334543
- Practice address
- 333 Texas St Ste 1300
Shreveport, LA 71101-3783 - Phone
- (318) 518-3901
- NPI assigned
- Jul 17, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | |||
| Phlebotomy Technician | 246RP1900X | 334543 | LA | Primary |
Addresses
Primary practice location
333 Texas St Ste 1300
Shreveport, LA 71101-3783
Mailing address
9021 Moray Dr
Shreveport, LA 71129-5127
Phone (318) 518-3901
Other names 1
- Brandi Whaley
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vein Express | Phlebotomy | Current | Accepting new patients |
Locations
333 Texas St
Ste 1300
Shreveport, LA 71101
Phone (318) 723-9341
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.
-
- Phlebotomy Technician
- Shreveport, LA
- NPI 1164243358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1073292173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9021 MORAY DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711295127",
"telephone_number": "318-518-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 TEXAS ST STE 1300",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711013783",
"telephone_number": "318-518-3901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEY",
"first_name": "BRANDI",
"middle_name": "MIKAL",
"credential": "CLS, CPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-17",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "LA",
"license": "334543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRANDI",
"last_name": "WHALEY",
"credential": "CLS, CPT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.