Jade Elise Law, PTC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

PTC8958 Issued in IN

Practice address

4737 Heatherwind Dr
Fort Wayne, IN 46815-7134

Phone

(260) 302-8529

NPI assigned

Jul 1, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1477398360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 HEATHERWIND DR APT D",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4737 HEATHERWIND DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157134",
            "telephone_number": "260-302-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAW",
        "first_name": "JADE",
        "middle_name": "ELISE",
        "credential": "PTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "IN",
            "license": "PTC8958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen K Laverghetta
• Lavish Royalty Disability Solutions LLC
• Lavish Royalty Home Care
• Lavish Royalty Home Health Care LLC
• Gabrielle L Lavoie, PA
• Stephanie Lawrence, RBT
• Hagan Coy Lawson III
• Hailey Lawson
• Lily Lawson
• Lawson'S Bridge Home Health Care, LLC

• Phlebotomy Technician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Phlebotomy Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.