Individual provider Active NPI

Latrice Lorelle Brown, NCRMA, CPT, BLS

  • Phlebotomy Technician
  • Henrico, VA
National Provider Identifier
1255093019
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
C2A9A8P9 Issued in VA
Practice address
6349 Walnut Forest CT
Henrico, VA 23231-5328
Phone
(347) 872-2304
NPI assigned
Oct 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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 C2A9A8P9 VA Primary

Addresses

Primary practice location

6349 Walnut Forest CT
Henrico, VA 23231-5328

Mailing address

6349 Walnut Forest CT
Henrico, VA 23231-5328
Phone (347) 872-2304

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
C2A9A8P9VAMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Ibt-Mobile Triage Phlebotomy CurrentSince Oct 17, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1255093019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6349 WALNUT FOREST CT",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232315328",
            "telephone_number": "347-872-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6349 WALNUT FOREST CT",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232315328",
            "telephone_number": "347-872-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LATRICE",
        "middle_name": "LORELLE",
        "credential": "NCRMA, CPT, BLS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "VA",
            "license": "C2A9A8P9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.