Individual provider Active NPI

Sonseray D Johnson, PBT

  • Phlebotomy Technician
  • North Charleston, SC
National Provider Identifier
1285370874
Registry record updated May 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Practice address
7950 Crossroads Dr Apt 113
North Charleston, SC 29406-9414
Phone
(888) 910-0573
NPI assigned
May 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X
Phlebotomy Technician 246RP1900X Primary

Addresses

Primary practice location

7950 Crossroads Dr Apt 113
North Charleston, SC 29406-9414

Mailing address

2139 Target St
North Charleston, SC 29406-6263
Phone (843) 374-9084

Other identifiers 1

IdentifierTypeStateIssuer
87-1932845MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.swiftdiagnostic.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

Practice roles

OrganizationSpecialtyStatusNew patients
Swift Diagnostic Testing CurrentSince May 16, 2022 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": "1651881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651881600000",
    "number": "1285370874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 TARGET ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066263",
            "telephone_number": "843-374-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 CROSSROADS DR APT 113",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069414",
            "telephone_number": "888-910-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SONSERAY",
        "middle_name": "D",
        "name_prefix": "Miss",
        "credential": "PBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-07",
        "last_updated": "2022-05-07",
        "certification_date": "2022-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87-1932845",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.swiftdiagnostic.com",
            "affiliation": "N",
            "endpointDescription": "Customer email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7950 Crossroads Dr Apt 113",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294069414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.

Verify at the official NPI Registry.