Individual provider Active NPI

Ernestine Shanika Bryant, PBT(ASCP)CM

  • Phlebotomy Technician
  • East Aurora, NY
National Provider Identifier
1942937354
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
49193 Issued in NY
Practice address
372 Maple Rd
East Aurora, NY 14052-1455
Phone
(919) 338-7860
NPI assigned
Aug 4, 2022
Last updated
Aug 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X 49193 NY Primary

Addresses

Primary practice location

372 Maple Rd
East Aurora, NY 14052-1455

Mailing address

372 Maple Rd
East Aurora, NY 14052-1455
Phone (919) 338-7860

Other names 1

  • Professional Pricks Professional name

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

LicenseStateTypeSpecialty
49193NYMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Phlebtech Mobile Diagnostics Phlebotomy CurrentSince Aug 13, 2023 Accepting new patients

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": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1942937354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 MAPLE RD",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521455",
            "telephone_number": "919-338-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 MAPLE RD",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521455",
            "telephone_number": "919-338-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ERNESTINE",
        "middle_name": "SHANIKA",
        "credential": "PBT(ASCP)CM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NY",
            "license": "49193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PROFESSIONAL",
            "last_name": "PRICKS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in East Aurora, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.