Active NPI
Ashley C Smith, CPT CCMA
- Phlebotomy Technician
- Boaz, AL
National Provider Identifier
1881345395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Practice address
- 201 Elizabeth St # B2S6
Boaz, AL 35957-2133 - Phone
- (205) 359-2946
- NPI assigned
- Jan 16, 2022
- Last updated
- May 30, 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 | NU | Primary |
Addresses
Primary practice location
201 Elizabeth St # B2S6
Boaz, AL 35957-2133
Mailing address
310 Douglas St
Boaz, AL 35957-2016
Phone (256) 506-7289
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medpro Mobile LLC | Current | Accepting new patients |
Locations
201 Elizabeth St
#B2S6
Boaz, AL 35957
Phone (205) 359-2946
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1881345395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 DOUGLAS ST",
"city": "BOAZ",
"state": "AL",
"postal_code": "359572016",
"telephone_number": "256-506-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 ELIZABETH ST # B2S6",
"city": "BOAZ",
"state": "AL",
"postal_code": "359572133",
"telephone_number": "205-359-2946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ASHLEY",
"middle_name": "C",
"credential": "CPT CCMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-16",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boaz, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.