Organization Active NPI

Complete Phlebotomy Training, Inc.

Doing business as CPT Home Health

  • Registered Nurse
  • Hemet, CA
National Provider Identifier
1609012079
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN467742 Issued in CA
Legal business name
COMPLETE PHLEBOTOMY TRAINING, INC.
Doing business as
CPT Home Health
Practice address
44937 Claro Rd
Hemet, CA 92544-6744
Phone
(909) 214-5909
NPI assigned
Jan 6, 2009
Last updated
Jan 6, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
COMPLETE PHLEBOTOMY TRAINING,INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Ms. Wanda Kim Tardy, RN
Title
Director
Phone
(909) 214-5909

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Registered Nurse 163W00000X RN467742 CA Primary
Home Health Registered Nurse 163WH0200X RN467742 CA

Addresses

Primary practice location

44937 Claro Rd
Hemet, CA 92544-6744

Mailing address

44937 Claro Rd
Hemet, CA 92544-6744
Phone (909) 214-5909

Other names 1

  • CPT Home Health Doing business as

National Provider Directory

National Provider Directory
Part of
Complete Phlebotomy Training Inc

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1609012079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44937 CLARO RD",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925446744",
            "telephone_number": "909-214-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44937 CLARO RD",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925446744",
            "telephone_number": "909-214-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE PHLEBOTOMY TRAINING, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPLETE PHLEBOTOMY TRAINING,INC.",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "TARDY",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-214-5909",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN467742",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "RN467742",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPT Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.