Active NPI
Dawn Henderson, RPT
- Phlebotomy Technician
- Toledo, OH
National Provider Identifier
1760767644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 180276
- Practice address
- 635 N Erie St
Attn Billing 272
Toledo, OH 43604 - Phone
- (419) 213-4259
- Fax
- (419) 213-4017
- NPI assigned
- Oct 11, 2011
- Last updated
- Oct 11, 2011
- 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 | 180276 | OH | Primary |
Addresses
Primary practice location
635 N Erie St
Attn Billing 272
Toledo, OH 43604
Mailing address
635 N Erie St
Attn Billing 272
Toledo, OH 43604
Phone (419) 213-4259
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180276 | OH | MD | Phlebotomy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucas County Auditor | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1760767644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 N ERIE ST",
"address_2": "ATTN BILLING 272",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43604",
"telephone_number": "419-213-4259",
"fax_number": "419-213-4017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 N ERIE ST",
"address_2": "ATTN BILLING 272",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43604",
"telephone_number": "419-213-4259",
"fax_number": "419-213-4017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "DAWN",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-11",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "OH",
"license": "180276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.