Active NPI
Kioshi Dee Love, PT
- Phlebotomy Technician
- Las Vegas, NV
National Provider Identifier
1649972407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- Q7K5E9W4
- Practice address
- 2301 Redwood St Apt 3806
Las Vegas, NV 89146-0839 - Phone
- (323) 590-8619
- NPI assigned
- Mar 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | |||
| Phlebotomy Technician | 246RP1900X | Q7K5E9W4 | NV | Primary |
Addresses
Primary practice location
2301 Redwood St Apt 3806
Las Vegas, NV 89146-0839
Mailing address
5125 Oquendo Rd
Ste 12 PMB 1019
Las Vegas, NV 89118
Phone (725) 216-2333
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kioshi@lineagemobilediagnostics.com | Direct |
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 |
|---|---|---|---|
| Q7K5E9W4 | NV | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1649972407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5125 OQUENDO RD",
"address_2": "STE 12 PMB 1019",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89118",
"telephone_number": "725-216-2333",
"fax_number": "702-745-0948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 REDWOOD ST APT 3806",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891460839",
"telephone_number": "323-590-8619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "KIOSHI",
"middle_name": "DEE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-17",
"last_updated": "2023-03-17",
"certification_date": "2023-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "NV",
"license": "Q7K5E9W4",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kioshi@lineagemobilediagnostics.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5125 W. oquendo",
"address_2": "Suite 12 PMB 1019",
"city": "Las vegas",
"state": "NV",
"country_code": "US",
"postal_code": "89118",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.