Active NPI
Jamie Jaterra Phillips, MEDICAL ASSISTANT
- Phlebotomy Technician
- Conroe, TX
National Provider Identifier
1558050419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Practice address
- 2213 N Frazier St Apt 801
Conroe, TX 77303-1795 - Phone
- (936) 499-5349
- NPI assigned
- May 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | TX | Primary |
Addresses
Primary practice location
2213 N Frazier St Apt 801
Conroe, TX 77303-1795
Mailing address
2213 N Frazier St Apt 801
Conroe, TX 77303-1795
Phone (936) 499-5349
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": "1683158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1558050419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 N FRAZIER ST APT 801",
"city": "CONROE",
"state": "TX",
"postal_code": "773031795",
"telephone_number": "936-499-5349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2213 N FRAZIER ST APT 801",
"city": "CONROE",
"state": "TX",
"postal_code": "773031795",
"telephone_number": "936-499-5349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "JAMIE",
"middle_name": "JATERRA",
"credential": "MEDICAL ASSISTANT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-04",
"last_updated": "2023-05-04",
"certification_date": "2023-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.