Candace Perry, PHLEBOTOMIST

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

N23107361 Issued in IN

Practice address

23 Motif Blvd Ste 101
Brownsburg, IN 46112-1065

Phone

(317) 735-6677

NPI assigned

Mar 12, 2024

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Prolific Diagnostics

  • Phlebology Physician
  • Brownsburg, IN
  • NPI 1376300608
  NPD Authorized official

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1548028798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MOTIF BLVD STE 101",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121065",
            "telephone_number": "317-735-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MOTIF BLVD STE 101",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121065",
            "telephone_number": "317-735-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "CANDACE",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "IN",
            "license": "N23107361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Penn
• Taylor Penning, OT
• Kayla Peo, RBT
• Madison Percy, RBT
• Ashley Perkins, RBT
• Isabella Perry, RBT
• Audra Peterson, PHARMD
• Brooke K Peterson, PMHNP
• Timothy J Pettigrew, M.D.
• Zoya Petty, RBT

• Phlebotomy Technician in Brownsburg, IN
• Providers in Brownsburg, IN by specialty
• Phlebotomy Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.