Kelyea S Derricks-Linder, CPT

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

OH22332E614 Issued in OH

Practice address

2505 Yolanda Dr # 2
Dayton, OH 45417-4467

Phone

(937) 241-5994

Fax

(937) 660-6876

NPI assigned

Oct 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Blessed Hands Phlebotomy LTD.

  • Phlebotomy Technician
  • Dayton, OH
  • NPI 1538810254
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1396409264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 YOLANDA DR # 2",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454174467",
            "telephone_number": "937-241-5994",
            "fax_number": "937-660-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 YOLANDA DR # 2",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454174467",
            "telephone_number": "937-241-5994",
            "fax_number": "937-660-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRICKS-LINDER",
        "first_name": "KELYEA",
        "middle_name": "S",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "OH",
            "license": "OH22332E614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A. Derksen, MD
• Dermatologists of Southwestern Ohio, LLC.
• Dermatology Associates of Ohio, LLC
• Dermatopathology Laboratory of Central States
• Kathleen Sarah Derr, PA-C
• Shkurte Dervisholli, FNP-C
• Alpa Desai, MD
• Bharat R Desai, R.PH
• Kalpesh Desai, D.O.
• Kunal R Desai, MD

• Phlebotomy Technician in Dayton, OH
• Providers in Dayton, OH by specialty
• Phlebotomy Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.