Individual provider Active NPI

Shalonda Monique Brown, CPT

  • Phlebotomy Technician
  • Colorado Springs, CO
National Provider Identifier
1831712561
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
2013720121 Issued in TX
Practice address
155 S Academy Blvd Apt 7
Colorado Springs, CO 80910-2730
Phone
(424) 308-4706
NPI assigned
May 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X 20130721021 TX
Phlebotomy Technician 246RP1900X 2013720121 TX Primary

Addresses

Primary practice location

155 S Academy Blvd Apt 7
Colorado Springs, CO 80910-2730

Mailing address

155 S Academy Blvd Apt 7
Colorado Springs, CO 80910-2730
Phone (424) 308-4706

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
20130721021TXMDPhlebotomy Technician
2013720121TXMDPhlebotomy Technician

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1831712561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S ACADEMY BLVD APT 7",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809102730",
            "telephone_number": "424-308-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 S ACADEMY BLVD APT 7",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809102730",
            "telephone_number": "424-308-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHALONDA",
        "middle_name": "MONIQUE",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "TX",
            "license": "20130721021",
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "TX",
            "license": "2013720121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.