Individual provider Active NPI

Lasonja Malone, CCMA

  • Phlebotomy Technician
  • Houston, TX
National Provider Identifier
1366970394
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Practice address
1880 S Dairy Ashford Rd Ste 207-439
Houston, TX 77077-4760
Phone
(877) 768-4897
Fax
(877) 768-4897
NPI assigned
Jun 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X
Home Health Aide 374U00000X
Phlebotomy Technician 246RP1900X Primary

Addresses

Primary practice location

1880 S Dairy Ashford Rd Ste 207-439
Houston, TX 77077-4760

Mailing address

1880 S Dairy Ashford Rd Ste 207-439
Houston, TX 77077-4760
Phone (877) 768-4897

Other practice location 1

4029 Fourden Ln
Lake Charles, LA 70607-3660
Phone (877) 768-4897

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Wellness Providers Co Current Accepting new patients
Ultimate Wellness Providers Co CurrentSince Oct 11, 2021 Accepting new patients

Locations

1880 S Dairy Ashford Rd
Ste 207439
Houston, TX 77077
Phone (877) 768-4897

Organizations & group practices 2

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": "1496448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1366970394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 S DAIRY ASHFORD RD STE 207-439",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770774760",
            "telephone_number": "877-768-4897",
            "fax_number": "877-768-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 S DAIRY ASHFORD RD STE 207-439",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770774760",
            "telephone_number": "877-768-4897",
            "fax_number": "877-768-4897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4029 Fourden Ln",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706073660",
            "country_code": "US",
            "telephone_number": "877-768-4897",
            "fax_number": "877-768-4897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "LASONJA",
        "credential": "CCMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-03",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.