Phatym Bamba Epse Kone, PC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

PC61287625 Issued in WA

Practice address

16003 Admiralty Way Apt D203
Lynnwood, WA 98087-6488

Phone

(425) 678-5212

NPI assigned

Dec 18, 2024

Last updated

Dec 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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.

• Sky Assistance Services

  • Phlebotomy Technician
  • Everett, WA
  • NPI 1932991569
  NPD Authorized official

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1306653753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16003 ADMIRALTY WAY APT D203",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980876488",
            "telephone_number": "425-678-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16003 ADMIRALTY WAY APT D203",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980876488",
            "telephone_number": "425-678-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMBA EPSE KONE",
        "first_name": "PHATYM",
        "credential": "PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": "NC61164097",
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "WA",
            "license": "PC61287625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elise Bao
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• Ladella Bareither, PTA
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• Phlebotomy Technician in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Phlebotomy Technician in Washington

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