Individual provider Active NPI

Vickie Sellers

  • Phlebotomy Technician
  • Alexandria, VA
National Provider Identifier
1386317220
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
121-10484 Issued in VA
Practice address
1100 Quaker Hill Dr Apt 420
Alexandria, VA 22314-4779
Phone
(571) 266-0887
NPI assigned
Jul 27, 2021
Reactivated
Jan 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X 121-10484 VA Primary

Addresses

Primary practice location

1100 Quaker Hill Dr Apt 420
Alexandria, VA 22314-4779

Mailing address

20609 Gordon Park SQ Ste 130
Ashburn, VA 20147-3149
Phone (571) 266-0887

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

LicenseStateTypeSpecialty
121-10484VAMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Major Home Care, LLC CurrentSince Mar 24, 2024 Accepting new patients
Healthy Hearts Solutions, Inc. CurrentSince Oct 5, 2021 Accepting new patients
Major Health Care, LLC Current Accepting new patients

Organizations & group practices 3

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": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1386317220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20609 GORDON PARK SQ STE 130",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473149",
            "telephone_number": "571-266-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 QUAKER HILL DR APT 420",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144779",
            "telephone_number": "571-266-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "VICKIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2024-01-30",
        "certification_date": "2023-07-10",
        "deactivation_date": "2023-07-10",
        "reactivation_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "VA",
            "license": "121-10484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.