Active NPI
Iesha E White
- Phlebotomy Technician
- Harvey, IL
National Provider Identifier
1871310987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 6644-45655
- Practice address
- 14915 Main St
Harvey, IL 60426-2235 - Phone
- (773) 256-7627
- NPI assigned
- Sep 21, 2024
- 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 | 6644-45655 | IL | Primary |
Addresses
Primary practice location
14915 Main St
Harvey, IL 60426-2235
Mailing address
14915 Main St
Harvey, IL 60426-2235
Phone (773) 256-7627
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 |
|---|---|---|---|
| 6644-45655 | IL | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726876800000",
"number": "1871310987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14915 MAIN ST",
"city": "HARVEY",
"state": "IL",
"postal_code": "604262235",
"telephone_number": "773-256-7627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14915 MAIN ST",
"city": "HARVEY",
"state": "IL",
"postal_code": "604262235",
"telephone_number": "773-256-7627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "IESHA",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-21",
"last_updated": "2024-09-21",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "IL",
"license": "6644-45655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harvey, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.