Active NPI
Charlette Janell Glines, PST
- Phlebotomy Technician
- West Richland, WA
National Provider Identifier
1306627229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 60346272
- Practice address
- 6241 Shale St
West Richland, WA 99353-7843 - Phone
- (509) 619-2050
- NPI assigned
- Oct 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 60346272 | WA | Primary |
Addresses
Primary practice location
6241 Shale St
West Richland, WA 99353-7843
Mailing address
PO Box 4512
West Richland, WA 99353-4008
Phone (509) 567-5873
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60346272 | WA | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1306627229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4512",
"city": "WEST RICHLAND",
"state": "WA",
"postal_code": "993534008",
"telephone_number": "509-567-5873",
"fax_number": "509-398-9389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6241 SHALE ST",
"city": "WEST RICHLAND",
"state": "WA",
"postal_code": "993537843",
"telephone_number": "509-619-2050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLINES",
"first_name": "CHARLETTE",
"middle_name": "JANELL",
"credential": "PST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-06",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "WA",
"license": "60346272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.