Nicodemme Jean-Baptiste

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

L11000120563 Issued in FL

Practice address

183 Sterling Springs LN
Altamonte Springs, FL 32714-3856

Phone

(407) 775-9705

NPI assigned

Nov 2, 2011

Last updated

Dec 15, 2020By the provider in NPPES

Sex

Male

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

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.

• Convenient Laboratories LLC

  dba ConveLabs

  • Clinical Medical Laboratory
  • Altamonte Springs, FL
  • NPI 1013558709
  NPD Authorized official

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1316223456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 STERLING SPRINGS LN",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143856",
            "telephone_number": "407-775-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 STERLING SPRINGS LN",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143856",
            "telephone_number": "407-775-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-BAPTISTE",
        "first_name": "NICODEMME",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-02",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "FL",
            "license": "L11000120563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dejah Jarrells, ARNP
• Caitlin Jarvis-Ruble, PHARMD
• Jasper Health Services Florida LLC
• Lissette Lynn Javier, MPT, ATC
• JDC Med LLC (Real Medical Altamonte)
• Theodule N Jean-Pierre Sr.
• Anthony James Jedwabny, ATC, CSCS
• Stacey Jefferies, NP
• Jeffrey J Elston MD PA
• Yvonne Dale Jenkins Lewis

• Phlebotomy Technician in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Phlebotomy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.