Active NPI
Detoria Whitney, NPT
- Phlebotomy Technician
- Raeford, NC
National Provider Identifier
1730860081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Practice address
- 300 Hammock Lane
Raeford, NC 28376 - Phone
- (910) 613-0787
- Fax
- (910) 613-0379
- NPI assigned
- Jul 28, 2023
- Last updated
- Mar 20, 2024
- 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
300 Hammock Lane
Raeford, NC 28376
Mailing address
300 Hammock LN
Raeford, NC 28376-2738
Other names 1
- Detoria Lanier
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gifted Hands Premium Mobile Lab Services | Phlebotomy | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Laboratory Technician
- Raeford, NC
- NPI 1730932690
Phlebotomy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1730860081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HAMMOCK LN",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283762738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HAMMOCK LANE",
"city": "RAEFORD",
"state": "NC",
"postal_code": "28376",
"telephone_number": "910-613-0787",
"fax_number": "910-613-0379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITNEY",
"first_name": "DETORIA",
"credential": "NPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-28",
"last_updated": "2024-03-20",
"certification_date": "2024-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DETORIA",
"last_name": "LANIER",
"code": "1",
"type": "Former Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.