Toya Lynn Beattie

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

25388387 Issued in IL

Practice address

409 E Maple Dr
Glenwood, IL 60425-1438

Phone

(708) 372-0508

NPI assigned

Feb 3, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Collective Health Spa, PLLC

  • Nutrition Education Nutritionist
  • Olympia Fields, IL
  • NPI 1891567863
  NPD Authorized official
• Phlebotomy Geek Lab, LLC

  • Clinical Medical Laboratory
  • Olympia Fields, IL
  • NPI 1881335255
  NPD Authorized official

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1649693235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E MAPLE DR",
            "city": "GLENWOOD",
            "state": "IL",
            "postal_code": "604251438",
            "telephone_number": "708-372-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E MAPLE DR",
            "city": "GLENWOOD",
            "state": "IL",
            "postal_code": "604251438",
            "telephone_number": "708-372-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTIE",
        "first_name": "TOYA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "IL",
            "license": "25388387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASCP",
            "identifier": "25388387",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Apex Care
• Monique Shiquita Askew, LMSW
• Aunt Martha'S Youth Service Center, Inc
• Darnetha Austin
• Autumn House Counseling PLLC
• Michelle Rene Belford, L.P.C.
• BMC Family Dentistry LLC
• Katrice Marie Brooks, M.D.
• Brookwood School District 167
• Gregory M Brown, DPM

• All providers in Glenwood, IL
• Phlebotomy Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.