Active NPI
Tracey Dianne Spoto
- Phlebotomy Technician
- Surprise, AZ
National Provider Identifier
1366106932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Practice address
- 14914 W Lisbon LN
Surprise, AZ 85379-6103 - Phone
- (623) 628-0708
- Fax
- (623) 777-8004
- NPI assigned
- Oct 28, 2021
- 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 | AZ | Primary |
Addresses
Primary practice location
14914 W Lisbon LN
Surprise, AZ 85379-6103
Mailing address
14914 W Lisbon LN
Surprise, AZ 85379-6103
Phone (623) 628-0708
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": "1635379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1366106932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14914 W LISBON LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853796103",
"telephone_number": "623-628-0708",
"fax_number": "623-777-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14914 W LISBON LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853796103",
"telephone_number": "623-628-0708",
"fax_number": "623-777-8004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPOTO",
"first_name": "TRACEY",
"middle_name": "DIANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-28",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.