Individual provider Active NPI

Kimberly S Wright, CERTIFIED PHLEBOTOMI

  • Medical Laboratory Technician
  • Indianola, IA
National Provider Identifier
1134892391
Registry record updated Jul 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Laboratory TechnicianTaxonomy code 246RM2200X
License
8411578678867 Issued in IA
Practice address
310 N Howard St
Indianola, IA 50125-1842
Phone
(641) 871-2004
NPI assigned
Jul 25, 2021
Last updated
Jul 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Laboratory Technician 246RM2200X 8411578678867 IA Primary

Addresses

Primary practice location

310 N Howard St
Indianola, IA 50125-1842

Mailing address

314 N 14TH St
Chariton, IA 50049-1631
Phone (515) 771-4487

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
8411578678867IAMDMedical Laboratory Technician

NPI Registry JSON

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

{
    "created_epoch": "1627171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1134892391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 N 14TH ST",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491631",
            "telephone_number": "515-771-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N HOWARD ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501251842",
            "telephone_number": "641-871-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "name_prefix": "Miss",
        "credential": "CERTIFIED PHLEBOTOMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-25",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "IA",
            "license": "8411578678867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; 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.