Individual provider Active NPI

Brandi Mikal Whaley, CLS, CPT

  • Phlebotomy Technician
  • Shreveport, LA
National Provider Identifier
1073292173
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
334543 Issued in LA
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

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other 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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vein Express Phlebotomy CurrentSince Oct 18, 2024 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.

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.

Verify at the official NPI Registry.