Active NPI
Taleitha Fullwood
- Phlebotomy Technician
- Greensboro, NC
National Provider Identifier
1841049194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- P9C8R6J6
- Practice address
- 701 Green Valley Rd Ste 100
Greensboro, NC 27408-7096 - Phone
- (800) 883-5170
- NPI assigned
- May 17, 2024
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | P9C8R6J6 | NC | Primary |
Addresses
Primary practice location
701 Green Valley Rd Ste 100
Greensboro, NC 27408-7096
Mailing address
701 Green Valley Rd Ste 100
Greensboro, NC 27408-7096
Phone (800) 883-5170
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
| License | State | Type | Specialty |
|---|---|---|---|
| P9C8R6J6 | NC | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1841049194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 GREEN VALLEY RD STE 100",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087096",
"telephone_number": "800-883-5170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 GREEN VALLEY RD STE 100",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087096",
"telephone_number": "800-883-5170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLWOOD",
"first_name": "TALEITHA",
"sole_proprietor": "YES",
"sex": "U",
"enumeration_date": "2024-05-17",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "NC",
"license": "P9C8R6J6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.