Organization Active NPI

Blessed Hands Phlebotomy LTD.

  • Phlebotomy Technician
  • Dayton, OH
National Provider Identifier
1538810254
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
BLESSED HANDS PHLEBOTOMY LTD.
Practice address
2505 Yolanda Dr
Dayton, OH 45417-4467
Phone
(937) 204-6762
Fax
(937) 660-6876
NPI assigned
Jan 13, 2022
Last updated
Jan 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Kelyea S Derricks, CPT,STNA
Title
CPT
Phone
(937) 204-6762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

2505 Yolanda Dr
Dayton, OH 45417-4467

Mailing address

2505 Yolanda Dr
Dayton, OH 45417-4467
Phone (937) 204-6762

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1538810254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 YOLANDA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454174467",
            "telephone_number": "937-204-6762",
            "fax_number": "937-660-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 YOLANDA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454174467",
            "telephone_number": "937-204-6762",
            "fax_number": "937-660-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED HANDS PHLEBOTOMY LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "DERRICKS",
        "authorized_official_first_name": "KELYEA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CPT",
        "authorized_official_telephone_number": "937-204-6762",
        "authorized_official_credential": "CPT,STNA"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.