NPIMap

Organization Active NPI

Hooper'S Mobile Phlebotomist

  • Home Health Agency
  • Greensboro, NC
National Provider Identifier
1184157935
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOOPER'S MOBILE PHLEBOTOMIST
Practice address
601 Friendway Rd Apt 3L
Greensboro, NC 27410-6403
Phone
(336) 402-5932
NPI assigned
Apr 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Crystalyn Hooper
Title
Phlebotomist/Owner
Phone
(336) 402-5932

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NC
Home Health Agency 251E00000X NC Primary
Nursing Care Agency 251J00000X NC
Adult Day Care Clinic/Center 261QA0600X NC
Military Clinical Medical Laboratory 291900000X NC
Clinical Medical Laboratory 291U00000X NC
Dental Laboratory 292200000X NC
Physiological Laboratory 293D00000X NC
Mental Illness Community Based Residential Treatment Facility 320800000X NC

Addresses

Primary practice location

601 Friendway Rd Apt 3L
Greensboro, NC 27410-6403

Mailing address

PO Box 14781
Greensboro, NC 27415-4781

Other names 1

  • Crystalyn's Phlebotomist on Wheels Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1491609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1184157935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14781",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274154781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FRIENDWAY RD APT 3L",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274106403",
            "telephone_number": "336-402-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOPER'S MOBILE PHLEBOTOMIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-08",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "CRYSTALYN",
        "authorized_official_title_or_position": "PHLEBOTOMIST/OWNER",
        "authorized_official_telephone_number": "336-402-5932"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "291900000X",
            "taxonomy_group": "",
            "desc": "Military Clinical Medical Laboratory",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystalyn's Phlebotomist on Wheels",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.