Individual provider Active NPI

Kambra Ann Mozee, CPT/CST

  • Phlebotomy Technician
  • Houston, TX
National Provider Identifier
1780408138
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
K6D9S6W2 Issued in TX
Practice address
12828 Willow Centre Dr Ste D
Houston, TX 77066-3043
Phone
(346) 509-6676
Fax
(832) 318-6109
NPI assigned
Nov 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 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 K6D9S6W2 TX Primary

Addresses

Primary practice location

12828 Willow Centre Dr Ste D
Houston, TX 77066-3043

Mailing address

12828 Willow Centre Dr Ste D
Houston, TX 77066-3043
Phone (346) 509-6676

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
K6D9S6W2TXMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Lab Runners Current Accepting new patients

Locations

12828 Willow Centre Dr
Ste D
Houston, TX 77066
Phone (888) 803-6480

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": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1780408138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12828 WILLOW CENTRE DR STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770663043",
            "telephone_number": "346-509-6676",
            "fax_number": "832-318-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12828 WILLOW CENTRE DR STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770663043",
            "telephone_number": "346-509-6676",
            "fax_number": "832-318-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZEE",
        "first_name": "KAMBRA",
        "middle_name": "ANN",
        "credential": "CPT/CST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "TX",
            "license": "K6D9S6W2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.