Freda Rolane Smith
Individual provider Active NPI Phlebotomy Technician · Fulton, KY
NPI 1952012668 · NPPES record last updated Nov 11, 2024
Key facts
- NPI
- 1952012668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Phlebotomy Technician 246RP1900X
- Practice address
- 201 N Highland Dr
Fulton, KY 42041-1463 - Phone
- (270) 208-1035
- Fax
- (270) 208-1055
- NPI assigned
- Dec 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
612 E Palmer St
Union City, TN 38261-2514
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laven Care LLC | Phlebotomy | Current |
Accepting new patients |
Locations
201 N Highland Dr
Fulton, KY 42041
Phone (270) 208-1035
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | TN | Yes |
Addresses
Primary practice location
201 N Highland Dr
Fulton, KY 42041-1463
Mailing address
201 N Highland Dr
Fulton, KY 42041-1463
Phone (270) 208-1035
Other providers in Fulton, KY
- Purchase Radiology Group
- Brandi N Rose
- Bruce James Rowland
- Angela Saling
- Judi Lee Scharmann
- Judy Noreen Smith
- Southern Vascular and Pain Surgery Center
- Jay Swenney
- Twin City Ambulance Service, Inc.
- Wal-Mart Stores East LP
All providers in Fulton, KY · Phlebotomy Technician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.