Keisha Davis, CPT

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Practice address

9500 Annapolis Rd Ste B2
Lanham, MD 20706-2062

Phone

(301) 850-1148

Fax

(866) 250-3233

NPI assigned

Dec 4, 2017

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phlebotomy Mobile Labs LLC

  • Clinic/Center
  • Baltimore, MD
  • NPI 1760004261

  Phlebotomy

  NPD Authorized official

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1487169157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 WALNUT GROVE RD",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212215906",
            "telephone_number": "240-229-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 ANNAPOLIS RD STE B2",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062062",
            "telephone_number": "301-850-1148",
            "fax_number": "866-250-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KEISHA",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.none.com",
            "affiliation": "N",
            "endpointDescription": "none.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "essex",
            "address_1": "943 Walnut Grove Rd",
            "city": "Essex",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212215906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alphonzo L. Davidson Sr., D.D.S., P.A.
• Angela K Davidson
• Regyn Davis-Young, CPT
• Balikis Davis
• Jessica Lynn Davis, PTA
• Davoud Assili MD PA
• Dayspring Health & Wellness LLC
• Angela De Bone, PA-C
• Shelly De Silva
• De-Trinity Healthcare, Inc.

• Phlebotomy Technician in Lanham, MD
• Providers in Lanham, MD by specialty
• Phlebotomy Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.