Active NPI
Complete Phlebotomy Training, Inc.
Doing business as CPT Home Health
- Registered Nurse
- Hemet, CA
National Provider Identifier
1609012079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN467742
- 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, 2009
- Organization subpart
- Yes
- Parent organization
- COMPLETE PHLEBOTOMY TRAINING,INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.