Individual provider Active NPI

Kierra Chianti Tucker, CPT

  • Phlebotomy Technician
  • Fort Myers, FL
National Provider Identifier
1295465326
Registry record updated Jun 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Practice address
6237 Presidential CT Ste 140
Fort Myers, FL 33919-3508
Phone
(877) 202-3530
Fax
(877) 772-5877
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2022

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 FL Primary

Addresses

Primary practice location

6237 Presidential CT Ste 140
Fort Myers, FL 33919-3508

Mailing address

6237 Presidential CT Ste 140
Fort Myers, FL 33919-3508
Phone (877) 202-3530

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 8777725877 Health Information Exchange (HIE)

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

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655510400000",
    "number": "1295465326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6237 PRESIDENTIAL CT STE 140",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193508",
            "telephone_number": "877-202-3530",
            "fax_number": "877-772-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6237 PRESIDENTIAL CT STE 140",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193508",
            "telephone_number": "877-202-3530",
            "fax_number": "877-772-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "KIERRA",
        "middle_name": "CHIANTI",
        "name_prefix": "Mrs.",
        "credential": "CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "8777725877",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "hie",
            "address_1": "6237 Presidential Ct Ste 140",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339193508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.