Active NPI
Gentle Butterfly MPS LLC
- Phlebotomy Technician
- Southaven, MS
National Provider Identifier
1487331997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Legal business name
- GENTLE BUTTERFLY MPS LLC
- Practice address
- 384 Goodman Rd E
Southaven, MS 38671-9522 - Phone
- (662) 879-7712
- NPI assigned
- Jun 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vickie Davis, CPT
- Title
- Owner/Phlebotomist
- Phone
- (662) 879-7712
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | Primary |
Addresses
Primary practice location
384 Goodman Rd E
Southaven, MS 38671-9522
Mailing address
384 Goodman Rd E
Southaven, MS 38671-9522
Phone (662) 879-7712
Other names 1
- Gentle Butterfly MPS
National Provider Directory
National Provider DirectoryLocations
384 Goodman Rd E
Southaven, MS 38671
Phone (217) 816-6341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687910400000",
"number": "1487331997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "384 GOODMAN RD E",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386719522",
"telephone_number": "662-879-7712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "384 GOODMAN RD E",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386719522",
"telephone_number": "662-879-7712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENTLE BUTTERFLY MPS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-28",
"last_updated": "2023-06-28",
"certification_date": "2023-06-14",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "VICKIE",
"authorized_official_title_or_position": "OWNER/PHLEBOTOMIST",
"authorized_official_telephone_number": "662-879-7712",
"authorized_official_credential": "CPT"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gentle Butterfly MPS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.