Antwonette Mixon Prothro, NCPT

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

091720 Issued in CO

Practice address

4340 E Kentucky Ave
Suite 462
Glendale, CO 80246-2060

Phone

(303) 815-1914

Fax

(303) 815-1915

NPI assigned

Apr 1, 2010

Last updated

Apr 1, 2010By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mile High Medical Service

  • Home Health Agency
  • Glendale, CO
  • NPI 1659541795
  Authorized official Same address or phone

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1275858334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 E. KENTUCKY AVENUE",
            "address_2": "SUITE 462",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "80246",
            "telephone_number": "303-815-1914",
            "fax_number": "303-815-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 E KENTUCKY AVE",
            "address_2": "SUITE 462",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802462060",
            "telephone_number": "303-815-1914",
            "fax_number": "303-815-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROTHRO",
        "first_name": "ANTWONETTE",
        "middle_name": "MIXON",
        "name_prefix": "Ms.",
        "credential": "NCPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CO",
            "license": "091720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sophia Postma, PHARMD
• Justin Ryan Potocki
• Suzanne Purcell, BCBA
• Pure Dermatology PLLC
• Rachael Britton, LLC (Physical Therapy Evolution)
• Nathan Rader, PHARMD
• Caroline Rose Rapp, CSW

• Phlebotomy Technician in Glendale, CO
• Providers in Glendale, CO by specialty
• Phlebotomy Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.