Active NPI
Mary Ann Q McNicol, RPT
- Phlebotomy Technician
- Ventura, CA
National Provider Identifier
1942527130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- CPT40230
- Practice address
- 6405 Nightingale St
#102
Ventura, CA 93003-7912 - Phone
- (805) 444-8468
- Fax
- (805) 620-0663
- NPI assigned
- Apr 27, 2010
- Sex
- Female
- Sole proprietor
- No
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 | CPT40230 | CA | Primary |
Addresses
Primary practice location
6405 Nightingale St
#102
Ventura, CA 93003-7912
Mailing address
6405 Nightingale St
#102
Ventura, CA 93003-7912
Phone (805) 444-8468
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 |
|---|---|---|---|
| CPT40230 | CA | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272326400000",
"number": "1942527130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 NIGHTINGALE ST",
"address_2": "#102",
"city": "VENTURA",
"state": "CA",
"postal_code": "930037912",
"telephone_number": "805-444-8468",
"fax_number": "805-620-0663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 NIGHTINGALE ST",
"address_2": "#102",
"city": "VENTURA",
"state": "CA",
"postal_code": "930037912",
"telephone_number": "805-444-8468",
"fax_number": "805-620-0663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNICOL",
"first_name": "MARY ANN",
"middle_name": "Q",
"name_prefix": "Mrs.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-27",
"last_updated": "2010-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "CA",
"license": "CPT40230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.