Keshia Bates, CPT

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

K4NR2N9 Issued in IN

Practice address

4024 Elkhart Rd Ste 26
Goshen, IN 46526-5803

Phone

(574) 366-2023

NPI assigned

Apr 12, 2024

Last updated

May 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kalm Kare Mobile Labs

  • Phlebotomy Technician
  • Goshen, IN
  • NPI 1316795479

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1821842386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 ELKHART RD STE 26",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265803",
            "telephone_number": "574-366-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 ELKHART RD STE 26",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265803",
            "telephone_number": "574-366-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "KESHIA",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "IN",
            "license": "K4NR2N9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9923882327",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisabeth A Barahona, LSW
• David L Barhydt, RPH
• Robert Edward Barker, DDS
• Bashor Home of the United Methodist Church, Inc
• Catherine Kreider Bast, MD
• Neha Batra, MD
• Rebecca Bauer, MD
• Kimberly May Baze
• Michael Lynn Beachy, D.D.S.
• Beacon Health Ventures, Inc. (Compassionate Caregivers Goshen)

• Phlebotomy Technician in Goshen, IN
• Providers in Goshen, IN by specialty
• Phlebotomy Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.