Cherelle A Thomas, CPT1

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

CPT-00069262 Issued in CA

Practice address

1333 College Pkwy # 622
Gulf Breeze, FL 32563-2711

Phone

(404) 447-6279

Fax

(972) 767-3970

NPI assigned

Jan 14, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Traveling Seaside Mobile Lab

  • Clinical Medical Laboratory
  • Mobile, AL
  • NPI 1700691789
  NPD Authorized official

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1306657929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 COLLEGE PKWY # 622",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632711",
            "telephone_number": "404-447-6279",
            "fax_number": "972-767-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 COLLEGE PKWY # 622",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632711",
            "telephone_number": "404-447-6279",
            "fax_number": "972-767-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CHERELLE",
        "middle_name": "A",
        "credential": "CPT1",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CA",
            "license": "CPT-00069262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Marie Taylor, APRN
• Teresa Teshea Teel, APRN
• The Beacon at Gulf Breeze
• The Bridge Counseling and Consulting LLC
• The Villas at Gulf Breeze, Inc.
• Dakota Thomas, APRN
• Jacob Daniel Thompson, PHARM.D.
• Chelsea Thornhill
• Ruben Berrocal Timmons, MD
• Misty Tipton

• Phlebotomy Technician in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Phlebotomy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.