Active NPI
Michelle Hardy-Juster, PBT
- Phlebotomy Technician
- Woodbridge, VA
National Provider Identifier
1437728847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 62878
- Practice address
- 2156 Silversmith CT
Woodbridge, VA 22191-4123 - Phone
- (571) 492-1409
- Fax
- (703) 580-8014
- NPI assigned
- Jun 21, 2021
- Last updated
- Jun 21, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 62878 | VA | Primary |
Addresses
Primary practice location
2156 Silversmith CT
Woodbridge, VA 22191-4123
Mailing address
2156 Silversmith CT
Woodbridge, VA 22191-4123
Phone (571) 492-1409
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 |
|---|---|---|---|
| 62878 | VA | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1437728847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2156 SILVERSMITH CT",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221914123",
"telephone_number": "571-492-1409",
"fax_number": "703-580-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2156 SILVERSMITH CT",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221914123",
"telephone_number": "571-492-1409",
"fax_number": "703-580-8014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY-JUSTER",
"first_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "PBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-21",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "VA",
"license": "62878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.