Individual provider Active NPI

Echo Michelle Stewart

  • Phlebotomy Technician
  • Vancouver, WA
National Provider Identifier
1821876400
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
47885BC47E1B39B4 Issued in OR
Practice address
1441 NE 136TH Ave Apt 258
Vancouver, WA 98684-5984
Phone
(208) 339-6289
NPI assigned
Sep 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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 47885BC47E1B39B4 OR Primary

Addresses

Primary practice location

1441 NE 136TH Ave Apt 258
Vancouver, WA 98684-5984

Mailing address

1441 NE 136TH Ave Apt 258
Vancouver, WA 98684-5984
Phone (208) 339-6289

Other names 1

  • Echo Michelle Brockett 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
47885BC47E1B39B4ORMDPhlebotomy Technician

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1821876400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 NE 136TH AVE APT 258",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845984",
            "telephone_number": "208-339-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 NE 136TH AVE APT 258",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845984",
            "telephone_number": "208-339-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "ECHO",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "OR",
            "license": "47885BC47E1B39B4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ECHO",
            "last_name": "BROCKETT",
            "middle_name": "MICHELLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.