Active NPI
Blake Aubery Phillips, MA-PHLEBOTOMIST
- Phlebotomy Technician
- Seattle, WA
National Provider Identifier
1316553555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 61078662
- Practice address
- 2600 SW Holden St
Seattle, WA 98126-3505 - Phone
- (425) 372-6541
- NPI assigned
- Sep 22, 2020
- Sex
- Male
- 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 | 61078662 | WA | Primary |
Addresses
Primary practice location
2600 SW Holden St
Seattle, WA 98126-3505
Mailing address
6232 38TH Ave NE
Seattle, WA 98115-7412
Phone (425) 372-6541
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 |
|---|---|---|---|
| 61078662 | WA | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600732800000",
"number": "1316553555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6232 38TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981157412",
"telephone_number": "425-372-6541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 SW HOLDEN ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981263505",
"telephone_number": "425-372-6541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "BLAKE",
"middle_name": "AUBERY",
"credential": "MA-PHLEBOTOMIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-22",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "WA",
"license": "61078662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.