Keyvonia Wilson, PHLEBOTOMY

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

NPCN-169866402 Issued in WI

Practice address

11575 W Theo Trekr Way # 18
Milwaukee, WI 53214-1139

Phone

(262) 450-3615

NPI assigned

Mar 25, 2024

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• With Purpose Mobile Phlebotomy Services

  • Phlebotomy Technician
  • Milwaukee, WI
  • NPI 1467390062
  NPD (past) Authorized official

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1245080092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11575 W THEO TREKR WAY # 18",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532141139",
            "telephone_number": "262-450-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11575 W THEO TREKR WAY # 18",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532141139",
            "telephone_number": "262-450-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KEYVONIA",
        "credential": "PHLEBOTOMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "WI",
            "license": "NPCN-169866402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Wilson
• J Frank Wilson, MD
• James Michael Wilson, M.D.
• Jill Marie Wilson, MS MFT
• Julie Wilson
• Kimula A Wilson, RN, FNP-BC, APNP
• Lasonya Carol Wilson, LPN
• Lauren N Wilson, PA-C
• Leonard W Wilson
• Lola Mae Wilson, RN

• Phlebotomy Technician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Phlebotomy Technician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.