Active NPI
Jennifer Roman
- Phlebotomy Technician
- Columbia, SC
National Provider Identifier
1124749171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 2744115
- Practice address
- 23 Carriage Oaks CT
Columbia, SC 29229-9300 - Phone
- (347) 604-4941
- NPI assigned
- Sep 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 2744115 | SC | Primary |
Addresses
Primary practice location
23 Carriage Oaks CT
Columbia, SC 29229-9300
Mailing address
23 Carriage Oaks CT
Columbia, SC 29229-9300
Phone (347) 604-4941
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 |
|---|---|---|---|
| 2744115 | SC | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1124749171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 CARRIAGE OAKS CT",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292299300",
"telephone_number": "347-604-4941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 CARRIAGE OAKS CT",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292299300",
"telephone_number": "347-604-4941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-08",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "SC",
"license": "2744115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.