Individual provider Active NPI

Shakera Gilliard

  • Phlebotomy Technician
  • Charleston, SC
National Provider Identifier
1750125084
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
N24104716 Issued in SC
Practice address
1527 Sam Rittenberg Blvd Ste 202
Charleston, SC 29407-4189
Phone
(843) 647-6349
NPI assigned
Jun 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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 N24104716 SC Primary

Addresses

Primary practice location

1527 Sam Rittenberg Blvd Ste 202
Charleston, SC 29407-4189

Mailing address

1527 Sam Rittenberg Blvd Ste 202
Charleston, SC 29407-4189
Phone (843) 647-6349

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
N24104716SCMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Scans LLC Phlebotomy Current Accepting new patients

Locations

1527 Sam Rittenberg Blvd
Ste 202
Charleston, SC 29407
Phone (843) 647-6349

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1750125084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 SAM RITTENBERG BLVD STE 202",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074189",
            "telephone_number": "843-647-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 SAM RITTENBERG BLVD STE 202",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074189",
            "telephone_number": "843-647-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIARD",
        "first_name": "SHAKERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "SC",
            "license": "N24104716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

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