Active NPI
Chimere Alyassa Mills
- Phlebotomy Technician
- Houston, TX
National Provider Identifier
1457071110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 60140
- Practice address
- 363 N Sam Houston Pkwy E Ste 1020a
Houston, TX 77060-2492 - Phone
- (713) 309-6779
- Fax
- (713) 347-8734
- NPI assigned
- Aug 31, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Laboratory Technician | 246RM2200X | 102007 | SC | |
| Phlebotomy Technician | 246RP1900X | 60140 | SC | Primary |
Addresses
Primary practice location
363 N Sam Houston Pkwy E Ste 1020a
Houston, TX 77060-2492
Mailing address
363 N Sam Houston Pkwy E Ste 1020a
Houston, TX 77060-2492
Phone (713) 309-6779
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 |
|---|---|---|---|
| 102007 | SC | MD | Medical Laboratory Technician |
| 60140 | SC | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1457071110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 N SAM HOUSTON PKWY E STE 1020A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770602492",
"telephone_number": "713-309-6779",
"fax_number": "713-347-8734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 N SAM HOUSTON PKWY E STE 1020A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770602492",
"telephone_number": "713-309-6779",
"fax_number": "713-347-8734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "CHIMERE",
"middle_name": "ALYASSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "246RM2200X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Medical Laboratory",
"state": "SC",
"license": "102007",
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "SC",
"license": "60140",
"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 Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.