Individual provider Active NPI

Kevanna Smith, PHLEBOTOMIST

  • Phlebotomy Technician
  • Canton, MI
National Provider Identifier
1548176563
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
190609140025 Issued in MI
Practice address
5840 N Canton Center Rd Ste 293
Canton, MI 48187-2684
Phone
(734) 404-4174
Fax
(734) 823-1206
NPI assigned
Aug 20, 2026
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X 190609140025 MI Primary

Addresses

Primary practice location

5840 N Canton Center Rd Ste 293
Canton, MI 48187-2684

Mailing address

5840 N Canton Center Rd Ste 293
Canton, MI 48187-2684
Phone (734) 404-4174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1787184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1548176563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 N CANTON CENTER RD STE 293",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872684",
            "telephone_number": "734-404-4174",
            "fax_number": "734-823-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 N CANTON CENTER RD STE 293",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872684",
            "telephone_number": "734-404-4174",
            "fax_number": "734-823-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEVANNA",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "MI",
            "license": "190609140025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.