Simone Kurney, PHLEBOTOMIST LICENSE

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

T9J2G5N3 Issued in TX

Practice address

501 Bluebird LN
Desoto, TX 75115-5137

Phone

(817) 689-2479

NPI assigned

Jan 15, 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

Electronic endpoints 1

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": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1538930847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BLUEBIRD LN",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155137",
            "telephone_number": "817-689-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BLUEBIRD LN",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155137",
            "telephone_number": "817-689-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURNEY",
        "first_name": "SIMONE",
        "credential": "PHLEBOTOMIST LICENSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "TX",
            "license": "T9J2G5N3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skurney@gentlelabs.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "skurney@gentlelabs.com",
            "address_1": "501 Bluebird Ln",
            "city": "DeSoto",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751155137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Phlebotomy Technician in Desoto, TX
• Providers in Desoto, TX by specialty
• Phlebotomy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.