Willena McCallum, PHLEBOTOMIST

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

060818-OPTC15242 Issued in OH

Practice address

711 Cleverly Rd
Dayton, OH 45417-1210

Phone

(937) 301-9356

Fax

(877) 552-1617

NPI assigned

Mar 11, 2024

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

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.

• Essential Life Diagnostics

  • Phlebotomy Technician
  • Huber Heights, OH
  • NPI 1669319497
  NPD Authorized official

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1700644028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 LINDEN AVE STE 180",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323058",
            "telephone_number": "937-301-9356",
            "fax_number": "877-552-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 CLEVERLY RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454171210",
            "telephone_number": "937-301-9356",
            "fax_number": "877-552-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLUM",
        "first_name": "WILLENA",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "OH",
            "license": "060818-OPTC15242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurice Aaron McCalister
• Christine Lynn McCall, RDH
• Keith Victor McCall
• Laura Ann McCall
• Jennifer McCallister
• Eboni Dannelle McCalter
• Morgan Mackenzie McCann
• Courtney Nicolle McCarel-Kraska, LPN
• Victor McCarley, PSYD
• Carlos D McCarroll

• Phlebotomy Technician in Dayton, OH
• Providers in Dayton, OH by specialty
• Phlebotomy Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.