Individual provider Active NPI

Marquette Shantee Thomasrufus

  • Other Technician
  • Desoto, TX
National Provider Identifier
1821741711
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
115570 Issued in TX
Practice address
1301 E Parkerville Rd Ste A8
Desoto, TX 75115-6420
Phone
(469) 747-3155
Fax
(800) 517-4729
NPI assigned
Jan 31, 2022
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X 115570 TX Primary
Home Health Aide 374U00000X NU
Contractor 171W00000X NU
Driver 172A00000X NU
Laboratory Management Specialist/Technologist 246QL0900X NU
Phlebotomy Technician 246RP1900X NU
Community Health Worker 172V00000X NU
Health & Wellness Coach 171400000X NU

Addresses

Primary practice location

1301 E Parkerville Rd Ste A8
Desoto, TX 75115-6420

Mailing address

1301 E Parkerville Rd Ste A8
Desoto, TX 75115-6420
Phone (469) 747-3155

Other identifiers 1

IdentifierTypeStateIssuer
45D2247456OtherTXCLIA LABORATORY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://www.ifsdrugtesting.com

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
115570TXMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Ifs Drug Testing Facility LLC CurrentSince Feb 27, 2022 Accepting new patients

Locations

1301 E Parkerville Rd
Ste A8
Desoto, TX 75115
Phone (469) 747-3155

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": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1821741711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E PARKERVILLE RD STE A8",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751156420",
            "telephone_number": "469-747-3155",
            "fax_number": "800-517-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E PARKERVILLE RD STE A8",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751156420",
            "telephone_number": "469-747-3155",
            "fax_number": "800-517-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMASRUFUS",
        "first_name": "MARQUETTE",
        "middle_name": "SHANTEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TX",
            "license": "115570",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246QL0900X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LABORATORY",
            "identifier": "45D2247456",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.ifsdrugtesting.com",
            "affiliation": "N",
            "address_1": "1301 E Parkerville Rd Ste A8",
            "city": "DeSoto",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751156420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.