Active NPI
Yolanda Williams
- Phlebotomy Technician
- Gonzales, LA
National Provider Identifier
1629778121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- K6P4M3L8
- Practice address
- 12290 Juliet St
Gonzales, LA 70737-6598 - Phone
- (225) 276-4278
- NPI assigned
- Mar 6, 2023
- Sex
- Female
- Sole proprietor
- No
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 | K6P4M3L8 | LA | Primary |
Addresses
Primary practice location
12290 Juliet St
Gonzales, LA 70737-6598
Mailing address
12290 Juliet St
Gonzales, LA 70737-6598
Phone (225) 276-4278
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K6P4M3L8 | LA | MD | Phlebotomy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trusted Care Labs | Phlebotomy | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1629778121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12290 JULIET ST",
"city": "GONZALES",
"state": "LA",
"postal_code": "707376598",
"telephone_number": "225-276-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12290 JULIET ST",
"city": "GONZALES",
"state": "LA",
"postal_code": "707376598",
"telephone_number": "225-276-4278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "YOLANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "LA",
"license": "K6P4M3L8",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.