Individual provider Active NPI

Darshena Shanika Bryant, PHLEBOTOMIST

  • Phlebotomy Technician
  • Southfield, MI
National Provider Identifier
1639935976
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
8944237786 Issued in MI
Practice address
16000 W 9 Mile Rd Ste 510
Southfield, MI 48075-4850
Phone
(855) 504-7873
Fax
(248) 436-9011
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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 8944237786 MI Primary

Addresses

Primary practice location

16000 W 9 Mile Rd Ste 510
Southfield, MI 48075-4850

Mailing address

16000 W 9 Mile Rd Ste 510
Southfield, MI 48075-4850
Phone (855) 504-7873

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

LicenseStateTypeSpecialty
8944237786MIMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Assurity Solutions Phlebotomy CurrentSince Mar 3, 2024 Accepting new patients
Bella Me Luxe Current Accepting new patients

Locations

16000 W 9 Mile Rd
Ste 510
Southfield, MI 48075
Phone (248) 213-6224

Organizations & group practices 2

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": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1639935976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 W 9 MILE RD STE 510",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754850",
            "telephone_number": "855-504-7873",
            "fax_number": "248-436-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 W 9 MILE RD STE 510",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754850",
            "telephone_number": "855-504-7873",
            "fax_number": "248-436-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "DARSHENA",
        "middle_name": "SHANIKA",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "MI",
            "license": "8944237786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.