Active NPI
Renee Denise Blackmon, PARAPROFESSIONAL
- Phlebotomy Technician
- Cleveland, OH
National Provider Identifier
1366625154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 260608981019
- Practice address
- 707 East 126TH Street
Cleveland, OH 44108 - Phone
- (216) 240-7985
- Fax
- (216) 761-8925
- NPI assigned
- Dec 14, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | |||
| Phlebotomy Technician | 246RP1900X | 260608981019 | OH | Primary |
| Naturopath | 175F00000X | |||
| Health Educator | 174H00000X |
Addresses
Primary practice location
707 East 126TH Street
Cleveland, OH 44108
Mailing address
707 East 126TH Street
Cleveland, OH 44108
Phone (216) 240-7985
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 |
|---|---|---|---|
| 260608981019 | OH | MD | Phlebotomy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phleblab LLC | Health & Wellness Coach | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1366625154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 EAST 126TH STREET",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44108",
"telephone_number": "216-240-7985",
"fax_number": "216-761-8925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 EAST 126TH STREET",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44108",
"telephone_number": "216-240-7985",
"fax_number": "216-761-8925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKMON",
"first_name": "RENEE",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"credential": "PARAPROFESSIONAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-14",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "OH",
"license": "260608981019",
"primary": true
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.