Active NPI
Catherine Rose Achille, MA
- Phlebotomy Technician
- Philadelphia, PA
National Provider Identifier
1265023253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Practice address
- 6350 Torresdale Ave
Philadelphia, PA 19135-3304 - Phone
- (267) 997-3282
- Fax
- (215) 914-9082
- NPI assigned
- Feb 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | PA | Primary |
Addresses
Primary practice location
6350 Torresdale Ave
Philadelphia, PA 19135-3304
Mailing address
6350 Torresdale Ave
Philadelphia, PA 19135-3304
Phone (267) 997-3282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 67695633 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | onourwaymobilephlebotomy@outlook.com | Direct |
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)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Our Way Mobile Phlebotomy | Current | 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.
-
- Health Service Clinic/Center
- Philadelphia, PA
- NPI 1700501442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1265023253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6350 TORRESDALE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191353304",
"telephone_number": "267-997-3282",
"fax_number": "215-914-9082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6350 TORRESDALE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191353304",
"telephone_number": "267-997-3282",
"fax_number": "215-914-9082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACHILLE",
"first_name": "CATHERINE",
"middle_name": "ROSE",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-01",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "67695633",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "onourwaymobilephlebotomy@outlook.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6350 Torresdale Ave",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191353304",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.