Sharvette Renee McDonald, PBT

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

64265 Issued in MS

Practice address

4780 I 55 N Ste 100
Jackson, MS 39211-5583

Phone

(601) 871-6978

Fax

(601) 429-9334

NPI assigned

Mar 20, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1477313203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 I 55 N STE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115583",
            "telephone_number": "601-871-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 I 55 N STE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115583",
            "telephone_number": "601-871-6978",
            "fax_number": "601-429-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "SHARVETTE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "PBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "MS",
            "license": "64265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imari McDonald, LPC
• Irvin Cordell McDonald, NP
• Jayme Robertson McDonald, PA-C
• Juanita McDonald, RN
• Mary Ranie McDonald, MD
• Taryn D. McDonald, MSW
• Anna McDowell, DMD
• Sydney Hays McDowell, MD
• Cassie McDuffey, LMSW
• Denise McDuffey, M.D.

• Phlebotomy Technician in Jackson, MS
• Providers in Jackson, MS by specialty
• Phlebotomy Technician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.