Telly Leshan Owens

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

752156 Issued in VA

Practice address

1405 Westover Hills Blvd Ste 1a
Richmond, VA 23225-3153

Phone

(804) 424-3260

Fax

(804) 424-3261

NPI assigned

Jul 14, 2017

Sex

Male

Sole proprietor

Yes

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.

• 1St. Stick Medical Draw Station

  • Clinical Medical Laboratory
  • Richmond, VA
  • NPI 1043736911
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1306368907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4331 BATHGATE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232343581",
            "telephone_number": "804-549-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 WESTOVER HILLS BLVD STE 1A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232253153",
            "telephone_number": "804-424-3260",
            "fax_number": "804-424-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "TELLY",
        "middle_name": "LESHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-14",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "VA",
            "license": "752156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81-4060372",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Owens, CRNA
• John Troy Owens, D.O.
• Keonte Owens
• Stephanie Tomlinson Owens, PHARM D
• Susanna Frances Owens, FNP
• Akua Owusu-Dommey, DDS
• Katherine Mercer Oxford, DPT OCS
• Mihran Ozbalik, MD
• Onyeije Wil Ozurumba, M.D.
• Brooke Kieffer Ozz, MS, BCBA, LBA

• All providers in Richmond, VA
• Phlebotomy Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.