Individual provider Active NPI

Sirrea McPherson

  • Phlebotomy Technician
  • Bronx, NY
National Provider Identifier
1083304802
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Practice address
4545 White Plains Rd Ste 1
Bronx, NY 10470-1608
Phone
(501) 680-5554
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246RP1900X NY Primary

Addresses

Primary practice location

4545 White Plains Rd Ste 1
Bronx, NY 10470-1608

Mailing address

46 Gramatan Ave # 127
Mount Vernon, NY 10550-1306
Phone (501) 680-5554

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phlemedis Inc Single Specialty CurrentSince May 21, 2023 Accepting new patients

Locations

4545 White Plains Rd
Ste 1
Bronx, NY 10470
Phone (501) 680-5554

46 Gramatan Ave
#127
Mount Vernon, NY 10550

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": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1083304802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 GRAMATAN AVE # 127",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105501306",
            "telephone_number": "501-680-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 WHITE PLAINS RD STE 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701608",
            "telephone_number": "501-680-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "SIRREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.