Active NPI
Kiana Janay Simpson
- Phlebotomy Technician
- Raleigh, NC
National Provider Identifier
1679207419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Practice address
- 4801 Glenwood Avenue
Suite 200 PMB 1100
Raleigh, NC 27612 - Phone
- (910) 446-5520
- NPI assigned
- Jul 15, 2022
- Last updated
- Aug 22, 2022
- 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 | NU | Primary |
Addresses
Primary practice location
4801 Glenwood Avenue
Suite 200 PMB 1100
Raleigh, NC 27612
Mailing address
5075 Morganton Rd
Ste 10C #1377
Fayetteville, NC 28314-1534
Phone (910) 446-5520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88-2847783 | Other | NC | PHLEBOTOMY |
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": "1657843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1679207419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5075 MORGANTON RD",
"address_2": "STE 10C #1377",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283141534",
"telephone_number": "910-446-5520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 GLENWOOD AVENUE",
"address_2": "SUITE 200 PMB 1100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27612",
"telephone_number": "910-446-5520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "KIANA",
"middle_name": "JANAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-15",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHLEBOTOMY",
"identifier": "88-2847783",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.