Active NPI
Samika Baskerville
- Phlebotomy Technician
- Springfield, IL
National Provider Identifier
1699648360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Practice address
- 2501 Chatham Rd Ste 6004
Springfield, IL 62704-4188 - Phone
- (217) 291-8880
- NPI assigned
- Sep 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Laboratory Technician | 246RM2200X | IL | ||
| Phlebotomy Technician | 246RP1900X | IL | Primary |
Addresses
Primary practice location
2501 Chatham Rd Ste 6004
Springfield, IL 62704-4188
Mailing address
9758 S Luella Ave
Chicago, IL 60617-4864
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": "1758931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758931200000",
"number": "1699648360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9758 S LUELLA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606174864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 CHATHAM RD STE 6004",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627044188",
"telephone_number": "217-291-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASKERVILLE",
"first_name": "SAMIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-27",
"last_updated": "2025-09-27",
"certification_date": "2025-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "246RM2200X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Medical Laboratory",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.