Individual provider Active NPI

Janet L Chace, PHLEBOTOMIST

  • Hematology Specialist/Technologist
  • Port Orange, FL
National Provider Identifier
1760016604
Registry record updated Mar 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology Specialist/TechnologistTaxonomy code 246QH0000X
Practice address
6047 Burgundy Ter
Port Orange, FL 32127-6785
Phone
(386) 872-2581
NPI assigned
Mar 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246QH0000X Primary

Addresses

Primary practice location

6047 Burgundy Ter
Port Orange, FL 32127-6785

Mailing address

PO Box 290474
Port Orange, FL 32129-0474
Phone (386) 872-2581

Other names 1

  • Janet Lynne Chace Other name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JC Mobile Phlebotomy Services, LLC Single Specialty CurrentSince Jun 21, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583020800000",
    "number": "1760016604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290474",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321290474",
            "telephone_number": "386-872-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6047 BURGUNDY TER",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321276785",
            "telephone_number": "386-872-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACE",
        "first_name": "JANET",
        "middle_name": "L",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-01",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QH0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Pathology, Hematology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "CHACE",
            "middle_name": "LYNNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2020; 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.