Active NPI
Christina Marie Holman, PHLEBOTOMIST
- Phlebotomy Technician
- Summerfield, FL
National Provider Identifier
1083972236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 010562-CPT12
- Practice address
- 14431 SE 61St Ave
Summerfield, FL 34491-7726 - Phone
- (352) 470-7034
- Fax
- (352) 347-5570
- NPI assigned
- Apr 25, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 010562-CPT12 | FL | Primary |
Addresses
Primary practice location
14431 SE 61St Ave
Summerfield, FL 34491-7726
Mailing address
14431 SE 61St Ave
Summerfield, FL 34491-7726
Phone (352) 470-7034
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 |
|---|---|---|---|
| 010562-CPT12 | FL | MD | Phlebotomy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drawn to You, LLC | Phlebotomy | Past | Accepting new patients |
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
- Summerfield, FL
- NPI 1639424278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342483200000",
"number": "1083972236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14431 SE 61ST AVE",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "344917726",
"telephone_number": "352-470-7034",
"fax_number": "352-347-5570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14431 SE 61ST AVE",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "344917726",
"telephone_number": "352-470-7034",
"fax_number": "352-347-5570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMAN",
"first_name": "CHRISTINA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PHLEBOTOMIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-25",
"last_updated": "2012-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "FL",
"license": "010562-CPT12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerfield, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.