Active NPI
Tammie Monique Wilson
- Phlebotomy Technician
- Fort Lauderdale, FL
National Provider Identifier
1851235725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Practice address
- 1314 E Las Olas Blvd
Fort Lauderdale, FL 33301-2334 - Phone
- (954) 418-2348
- NPI assigned
- Apr 20, 2026
- Sex
- Female
- 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 | FL | Primary |
Addresses
Primary practice location
1314 E Las Olas Blvd
Fort Lauderdale, FL 33301-2334
Mailing address
1117 NW 3Rd CT Apt 1
Fort Lauderdale, FL 33311-8771
Phone (754) 600-7986
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1851235725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 NW 3RD CT APT 1",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333118771",
"telephone_number": "754-600-7986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 E LAS OLAS BLVD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333012334",
"telephone_number": "954-418-2348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "TAMMIE",
"middle_name": "MONIQUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-20",
"last_updated": "2026-04-20",
"certification_date": "2026-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.