Active NPI
Kerry Metellus
- Phlebotomy Technician
- Miami, FL
National Provider Identifier
1669282562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Practice address
- 19553 NW 2ND Ave
Miami, FL 33169-3300 - Phone
- (305) 763-2670
- NPI assigned
- Jan 13, 2025
- 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 | FL | Primary |
Addresses
Primary practice location
19553 NW 2ND Ave
Miami, FL 33169-3300
Mailing address
25791 S Dixie Hwy Apt 1132
Homestead, FL 33032-5514
Phone (305) 763-2670
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1669282562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25791 S DIXIE HWY APT 1132",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330325514",
"telephone_number": "305-763-2670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19553 NW 2ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331693300",
"telephone_number": "305-763-2670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METELLUS",
"first_name": "KERRY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-13",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.