Active NPI
Deondarneshia Jacoya Williams, CPT, CPCT
- Phlebotomy Technician
- Spring Hill, FL
National Provider Identifier
1679365290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 25R-CPT1139
- Practice address
- 4142 Mariner Blvd # 407
Spring Hill, FL 34609-2468 - Phone
- (656) 252-6487
- NPI assigned
- May 20, 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 | 25R-CPT1139 | FL | Primary |
Addresses
Primary practice location
4142 Mariner Blvd # 407
Spring Hill, FL 34609-2468
Mailing address
4142 Mariner Blvd # 407
Spring Hill, FL 34609-2468
Phone (656) 252-6487
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 |
|---|---|---|---|
| 25R-CPT1139 | FL | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1679365290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4142 MARINER BLVD # 407",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346092468",
"telephone_number": "656-252-6487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4142 MARINER BLVD # 407",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346092468",
"telephone_number": "656-252-6487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DEONDARNESHIA",
"middle_name": "JACOYA",
"credential": "CPT, CPCT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-20",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "FL",
"license": "25R-CPT1139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.