Active NPI
Demetrica Leavy
- Phlebotomy Technician
- Ridgeland, MS
National Provider Identifier
1306767702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- F5W7L9G6
- Practice address
- 203 Pecan Park Dr
Ridgeland, MS 39157-2817 - Phone
- (662) 809-3755
- NPI assigned
- Jul 22, 2026
- 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 | F5W7L9G6 | MS | Primary |
Addresses
Primary practice location
203 Pecan Park Dr
Ridgeland, MS 39157-2817
Mailing address
203 Pecan Park Dr
Ridgeland, MS 39157-2817
Phone (662) 809-3755
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": "1784678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1306767702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 PECAN PARK DR",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572817",
"telephone_number": "662-809-3755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 PECAN PARK DR",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572817",
"telephone_number": "662-809-3755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAVY",
"first_name": "DEMETRICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-22",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "MS",
"license": "F5W7L9G6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.