Tiana Lynnette Douglas Goeins

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

48471-168-055-5227 Issued in MD

Practice address

6515 Overheart LN
Columbia, MD 21045-4541

Phone

(667) 401-2864

NPI assigned

May 23, 2023

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.

• Tendercare Mobile Phlebotomy

  • Phlebotomy Technician
  • Columbia, MD
  • NPI 1346022654
  NPD Authorized official

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1669164109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 OVERHEART LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454541",
            "telephone_number": "667-401-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 OVERHEART LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454541",
            "telephone_number": "667-401-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS GOEINS",
        "first_name": "TIANA",
        "middle_name": "LYNNETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "MD",
            "license": "48471-168-055-5227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "781E1689",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Alyse Dougherty-Vona
• Alexandrea Dougherty
• Barbara Dougherty, LCSW-C
• Grace Elizabeth Dougherty
• Maura Dougherty, BCBA
• Jimmy Douglas II
• Mary Douglas
• Tia Douglas
• Kathleen M Douglass, M.A., LCPC
• Dina Douty

• Phlebotomy Technician in Columbia, MD
• Providers in Columbia, MD by specialty
• Phlebotomy Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.