Active NPI
Diana Pereira
- Phlebotomy Technician
- South Daytona, FL
National Provider Identifier
1457170607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Practice address
- 2050 S Ridgewood Ave Apt O2
South Daytona, FL 32119-8431 - Phone
- (508) 685-0275
- NPI assigned
- Oct 5, 2024
- 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 | Primary |
Addresses
Primary practice location
2050 S Ridgewood Ave Apt O2
South Daytona, FL 32119-8431
Mailing address
2050 S Ridgewood Ave Apt O2
South Daytona, FL 32119-8431
Phone (508) 685-0275
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1457170607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 S RIDGEWOOD AVE APT O2",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321198431",
"telephone_number": "508-685-0275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 S RIDGEWOOD AVE APT O2",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321198431",
"telephone_number": "508-685-0275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREIRA",
"first_name": "DIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-05",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Daytona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.