Active NPI
Makeda Blake, CPT, RMA
- Phlebotomy Technician
- North Miami Beach, FL
National Provider Identifier
1134855323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Practice address
- 1800 NE 173Rd St
North Miami Beach, FL 33162 - Phone
- (305) 741-1310
- Fax
- (954) 827-0446
- NPI assigned
- Jul 28, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Laboratory Technician | 246RM2200X | |||
| Phlebotomy Technician | 246RP1900X | Primary |
Addresses
Primary practice location
1800 NE 173Rd St
North Miami Beach, FL 33162
Mailing address
2598 E Sunrise Blvd Ste 2104
Fort Lauderdale, FL 33304-3230
Phone (305) 741-1310
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
- Credentials
- Registered Medical Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simply Draw Phlebotomy | Phlebotomy | Current | Accepting new patients |
Locations
2598 E Sunrise Blvd
Side 2104
Ft Lauderdale, FL 33304
Phone (716) 345-7268
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": "1658966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1134855323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2598 E SUNRISE BLVD STE 2104",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333043230",
"telephone_number": "305-741-1310",
"fax_number": "954-827-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 NE 173RD ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "33162",
"telephone_number": "305-741-1310",
"fax_number": "954-827-0446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "MAKEDA",
"credential": "CPT, RMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-28",
"last_updated": "2024-01-22",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "246RM2200X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.