Chereta Colonel-Ray, CPT

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

R3Z9B2M2 Issued in SC

Practice address

208 Ordie Dr
Reevesville, SC 29471-4202

Phone

(843) 560-9587

NPI assigned

Feb 19, 2024

Last updated

Feb 20, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1841055993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 ORDIE DR",
            "city": "REEVESVILLE",
            "state": "SC",
            "postal_code": "294714202",
            "telephone_number": "843-560-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 ORDIE DR",
            "city": "REEVESVILLE",
            "state": "SC",
            "postal_code": "294714202",
            "telephone_number": "843-560-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLONEL-RAY",
        "first_name": "CHERETA",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "SC",
            "license": "R3Z9B2M2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nanette F Aycock
• Annsley Judy, MA, CCC-SLP
• Jason Wimberly, MS, ATC

• Phlebotomy Technician in Reevesville, SC
• Providers in Reevesville, SC by specialty
• Phlebotomy Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.