Individual provider Active NPI

Jessica Brown, CPT

  • Phlebotomy Technician
  • Middletown, OH
National Provider Identifier
1134907108
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
Q5R7B4K6 Issued in OH
Practice address
2999 Carmody Boulevard
Middletown, OH 45042
Phone
(937) 605-2640
NPI assigned
Sep 20, 2023
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X Q5R7B4K6 OH Primary

Addresses

Primary practice location

2999 Carmody Boulevard
Middletown, OH 45042

Mailing address

4521 Crawfordsville Campbellstown Rd
Eaton, OH 45320-9677
Phone (937) 605-2640

Other practice location 1

4521 Crawfordsville Campbellstown Rd
Eaton, OH 45320-9677
Phone (937) 605-2640

Other names 1

  • Affordable Mobile Phlebotomy 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q5R7B4K6OHMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Mobile Phlebotomy LLC Phlebotomy CurrentSince Jan 31, 2024 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": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1134907108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 CRAWFORDSVILLE CAMPBELLSTOWN RD",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453209677",
            "telephone_number": "937-605-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 CARMODY BOULEVARD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "45042",
            "telephone_number": "937-605-2640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4521 Crawfordsville Campbellstown Rd",
            "address_purpose": "LOCATION",
            "city": "Eaton",
            "state": "OH",
            "postal_code": "453209677",
            "country_code": "US",
            "telephone_number": "937-605-2640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JESSICA",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "OH",
            "license": "Q5R7B4K6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AFFORDABLE",
            "last_name": "PHLEBOTOMY",
            "middle_name": "MOBILE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.