Antoinette Boston

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

PTC-1581 Issued in TN

Practice address

1138 N Germantown Pkwy # 101-379
Cordova, TN 38016-5872

Phone

(662) 404-4052

Fax

(901) 584-0282

NPI assigned

Feb 7, 2013

Last updated

May 31, 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dependable Transportation Services

  • Non-emergency Medical Transport (VAN)
  • Cordova, TN
  • NPI 1225377476
  NPD (past) Authorized official

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1275872418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1871",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380881871",
            "telephone_number": "662-404-4052",
            "fax_number": "901-584-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 N GERMANTOWN PKWY # 101-379",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165872",
            "telephone_number": "662-404-4052",
            "fax_number": "901-584-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTON",
        "first_name": "ANTOINETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "TN",
            "license": "PTC-1581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatyana A Bolshakova-McGehee, PTA
• Naima Bomani, RBT
• Gabrielle Alexia Bonner
• Born by Grace
• Amanda Bostick
• Botts Dental Spa PC
• Jason Bryce Botts, DDS
• Natalie Boucher, PHARMD
• Wissal Miloud Boudaoud
• Bound by Happiness

• Phlebotomy Technician in Cordova, TN
• Providers in Cordova, TN by specialty
• Phlebotomy Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.