Shatondra Scott, PHLEBOTOMIST

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Practice address

850 S 21St St Ste M
Fort Pierce, FL 34950-4846

Phone

(800) 356-6021

NPI assigned

Mar 8, 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

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.

• Secure Labs

  dba Secure Labs LLC

  • Phlebotomy Technician
  • Fort Pierce, FL
  • NPI 1437903911
  Authorized official Same address or phone

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1740048248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 TROON PL",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349471353",
            "telephone_number": "754-215-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S 21ST ST STE M",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504846",
            "telephone_number": "800-356-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "SHATONDRA",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Schwerer Dental Care
• John Anthony Schwerer II, DMD
• John Anthony Schwerer
• Scott Katzman MD PA (Advanced Orthopaedic)
• Eva Natalie Scott
• Pandora Ann Scotto, LCSW
• Debra Lynn Scuderi, M.S.
• Jill Margaret Secunde
• Secure Labs (Secure Labs LLC)
• Selena Seda

• Phlebotomy Technician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Phlebotomy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.