Rashaya Tiara Ellis, PHLEBOTOMIST

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

P4HG2D4 Issued in CT

Practice address

94B Stone Ridge Rd
Bridgeport, CT 06606-2577

Phone

(203) 583-5096

NPI assigned

Sep 6, 2022

Last updated

Apr 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1184345464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94B STONE RIDGE RD",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062577",
            "telephone_number": "203-993-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94B STONE RIDGE RD",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062577",
            "telephone_number": "203-583-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "RASHAYA",
        "middle_name": "TIARA",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CT",
            "license": "P4HG2D4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Elkies, SLP
• Crystal A Ellis
• Elizabeth Anna Ellis, CRNA
• Jennifer Lyn Ellis, LCSW
• Keith Lawrence Ellis
• Irene Ellison
• Louis Elmo Jr., OTR
• Fady Elshikh, MD
• Embrace Your Path, LLC
• Melissa Brittany Emilcar, DO

• Phlebotomy Technician in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Phlebotomy Technician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.