Tiffany Lashae Brown

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

25460231 Issued in FL

Practice address

109 E Viola St
Avon Park, FL 33825-2249

Phone

(888) 919-2509

Fax

(863) 900-9720

NPI assigned

Nov 29, 2023

Last updated

Nov 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mobile Phlebotomy Excellence

  • Clinical Medical Laboratory
  • Avon Park, FL
  • NPI 1356120836
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1952177131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7090",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338267090",
            "telephone_number": "888-919-2509",
            "fax_number": "863-900-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E VIOLA ST",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252249",
            "telephone_number": "888-919-2509",
            "fax_number": "863-900-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TIFFANY",
        "middle_name": "LASHAE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "FL",
            "license": "25460231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Suzanne Bledsoe-Gonzalez, LMT
• David A. Boersma, D.C.P.A.
• James Michael Brockwell, RD
• Joseph Thomas Brown II
• Michael Austin Brown, DMD
• Darius Burns
• Chinita Butler
• Shawnte Caldwell
• Lisa Michele Campbell, D.D.S.
• Taylour Ann Campbell, CF-SLP

• Phlebotomy Technician in Avon Park, FL
• Providers in Avon Park, FL by specialty
• Phlebotomy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.