Active NPI
Jacquelyn Verze-Reeher, CPT -00040713
- Phlebotomy Technician
- San Francisco, CA
National Provider Identifier
1467044339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- CPT-00040713
- Practice address
- 2 Gough St
San Francisco, CA 94103-5419 - Phone
- (415) 374-4013
- NPI assigned
- Feb 10, 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 | CPT-00040713 | CA | Primary |
Addresses
Primary practice location
2 Gough St
San Francisco, CA 94103-5419
Mailing address
PO Box 156675
San Francisco, CA 94115-6675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CPT-00040713 | Other | CA | CA DEPT OF PUBLIC HEALTH |
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 |
|---|---|---|---|
| CPT-00040713 | CA | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1467044339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 156675",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941156675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 GOUGH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941035419",
"telephone_number": "415-374-4013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERZE-REEHER",
"first_name": "JACQUELYN",
"credential": "CPT -00040713",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-10",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "CA",
"license": "CPT-00040713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA DEPT OF PUBLIC HEALTH",
"identifier": "CPT-00040713",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.