Individual provider Active NPI

Kayla Rivas, CPT

  • Phlebotomy Technician
  • Key West, FL
National Provider Identifier
1730834425
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
26343-164-400-4583 Issued in FL
Practice address
5300 Macdonald Ave Lot 27
Key West, FL 33040-5878
Phone
(305) 900-0123
NPI assigned
Feb 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X 26343-164-400-4583 FL Primary

Addresses

Primary practice location

5300 Macdonald Ave Lot 27
Key West, FL 33040-5878

Mailing address

5300 Macdonald Ave Lot 27
Key West, FL 33040-5878
Phone (305) 900-0123

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SouthernMostMobileLabs@gmail.com

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

LicenseStateTypeSpecialty
26343-164-400-4583FLMDPhlebotomy Technician

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1730834425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 MACDONALD AVE LOT 27",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330405878",
            "telephone_number": "305-900-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 MACDONALD AVE LOT 27",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330405878",
            "telephone_number": "305-900-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "KAYLA",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "FL",
            "license": "26343-164-400-4583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SouthernMostMobileLabs@gmail.com",
            "affiliation": "N",
            "address_1": "5300 MacDonald Ave Lot 27",
            "city": "Key West",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330405878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.