Active NPI
Kristi Jacklyn Love
- Phlebotomy Technician
- Southaven, MS
National Provider Identifier
1326927153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 720353
- Practice address
- 4744 W E Ross Pkwy
BLD 48 Apt 103
Southaven, MS 38671 - Phone
- (901) 581-8644
- NPI assigned
- Aug 27, 2025
- 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 | 720353 | MS | Primary |
Addresses
Primary practice location
4744 W E Ross Pkwy
BLD 48 Apt 103
Southaven, MS 38671
Mailing address
4780 I 55 N Ste 110-110
Jackson, MS 39211-5542
Phone (901) 581-8644
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 |
|---|---|---|---|
| 720353 | MS | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1326927153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4780 I 55 N STE 110-110",
"city": "JACKSON",
"state": "MS",
"postal_code": "392115542",
"telephone_number": "901-581-8644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4744 W E ROSS PKWY",
"address_2": "BLD 48 APT 103",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "38671",
"telephone_number": "901-581-8644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "KRISTI",
"middle_name": "JACKLYN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-27",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "MS",
"license": "720353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.