Active NPI
Rebecca Bascom
- Phlebotomy Technician
- Burien, WA
National Provider Identifier
1386111417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- PC60887712
- Practice address
- 1210 SW 136TH St
Burien, WA 98166-1214 - Phone
- (206) 248-8226
- NPI assigned
- Oct 26, 2018
- Last updated
- Oct 26, 2018
- 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 | PC60887712 | WA | Primary |
Addresses
Primary practice location
1210 SW 136TH St
Burien, WA 98166-1214
Mailing address
1207 4TH Ave SE
Puyallup, WA 98372-3312
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 |
|---|---|---|---|
| PC60887712 | WA | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540512000000",
"number": "1386111417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 4TH AVE SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 SW 136TH ST",
"city": "BURIEN",
"state": "WA",
"postal_code": "981661214",
"telephone_number": "206-248-8226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASCOM",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-26",
"last_updated": "2018-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "WA",
"license": "PC60887712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.