Individual provider Active NPI

Latrescia Reeves, PHLEBOTOMY

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Baltimore, MD
National Provider Identifier
1104627314
Registry record updated Dec 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X
License
A00215910 Issued in VA
Practice address
2204 Tucker LN Apt B1
Baltimore, MD 21207-7839
Phone
(443) 717-7158
NPI assigned
Mar 24, 2025
Last updated
Dec 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X A00215910 VA Primary

Addresses

Primary practice location

2204 Tucker LN Apt B1
Baltimore, MD 21207-7839

Mailing address

2204 Tucker LN Apt B1
Baltimore, MD 21207-7839
Phone (804) 940-9171

Other names 1

  • Purple Heart Mobile Phlebotomy & la Purple Heart Mobile Phlebotomy & la 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A00215910VAMDClinical & Laboratory Immunology (Allergy & Immunology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Purple Heart Mobile Phlebotomy & Laboratory Services LLC Clinical & Laboratory Immunology CurrentSince Sep 21, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765065600000",
    "number": "1104627314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 TUCKER LN APT B1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212077839",
            "telephone_number": "804-940-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 TUCKER LN APT B1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212077839",
            "telephone_number": "443-717-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "LATRESCIA",
        "credential": "PHLEBOTOMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-12-07",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "VA",
            "license": "A00215910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PURPLE HEART MOBILE PHLEBOTOMY & LA",
            "last_name": "PURPLE HEART MOBILE PHLEBOTOMY & LA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2025; 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.