Active NPI
Julia Madeline Ellison
- Phlebotomy Technician
- Auburn Hills, MI
National Provider Identifier
1942569827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 246RP1900X
- Practice address
- 2653 South Blvd Apt 138
Auburn Hills, MI 48326-3576 - Phone
- (248) 636-3515
- NPI assigned
- May 11, 2012
- 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 | 246RP1900X | MI | Primary |
Addresses
Primary practice location
2653 South Blvd Apt 138
Auburn Hills, MI 48326-3576
Mailing address
2653 South Blvd Apt 138
Auburn Hills, MI 48326-3576
Phone (248) 636-3515
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 |
|---|---|---|---|
| 246RP1900X | MI | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336694400000",
"number": "1942569827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2653 SOUTH BLVD APT 138",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483263576",
"telephone_number": "248-636-3515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2653 SOUTH BLVD APT 138",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483263576",
"telephone_number": "248-636-3515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLISON",
"first_name": "JULIA",
"middle_name": "MADELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-11",
"last_updated": "2012-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "MI",
"license": "246RP1900X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.