Lakisha Redmond, RMA, CCMA, AHI, PBT

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

65804 Issued in MS

Practice address

12320 Ashley Dr
Ste D
Gulfport, MS 39503

Phone

(228) 609-9752

Fax

(888) 964-2655

NPI assigned

Jan 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Medical Assistant

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.

• Coastal Diagnostics PLLC

  dba Coastal Laboratory Services

  • Clinical Medical Laboratory
  • Gulfport, MS
  • NPI 1407514011
  NPD Authorized official
• On the Move Medic

  • Clinical Medical Laboratory
  • Gulfport, MS
  • NPI 1801237839
  NPD (past) Authorized official

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

{
    "created_epoch": "1546300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1831661800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 ASHLEY DR",
            "address_2": "STE D",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39503",
            "telephone_number": "228-609-9752",
            "fax_number": "888-964-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 ASHLEY DR",
            "address_2": "STE D",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39503",
            "telephone_number": "228-609-9752",
            "fax_number": "888-964-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "LAKISHA",
        "credential": "RMA, CCMA, AHI, PBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-01",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "MS",
            "license": "2591601",
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "MS",
            "license": "2591601",
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "MS",
            "license": "65804",
            "primary": true
        },
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "MS",
            "license": "25475911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly P. Rayborn, NPC
• Holly Raymond, DMD
• RBC Medical Services PLLC
• Jamie Read
• Rebecca Gilliland LCSW PLLC
• Haylie Reed, MD
• Roger H Reed, M.D.
• Refined Therapy Group, LLC
• Holly Regan
• Reggie H. Broom, D.M.D., P.a.

• Phlebotomy Technician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Phlebotomy Technician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.