Active NPI
Lasonja Malone, CCMA
- Phlebotomy Technician
- Houston, TX
National Provider Identifier
1366970394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- 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
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 | |||
| Contractor | 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultimate Wellness Providers Co | Current | Accepting new patients | |
| Ultimate Wellness Providers Co | Current | 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.
-
- Clinic/Center
- Bellaire, TX
- NPI 1477215069
-
- Health Service Clinic/Center
- Houston, TX
- NPI 1710408448
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.