Nikia a Autry

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

M6G2E8J4 Issued in TX

Practice address

3626 N Hall St Ste 610
Dallas, TX 75219-5131

Phone

(866) 301-1456

NPI assigned

Dec 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lee Jackson Enterprises

  • Phlebotomy Technician
  • Dallas, TX
  • NPI 1437877362

  Prosthetics Case Management

  NPD

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1992275770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 N HALL ST STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195131",
            "telephone_number": "866-301-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 N HALL ST STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195131",
            "telephone_number": "866-301-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUTRY",
        "first_name": "NIKIA A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "TX",
            "license": "M6G2E8J4",
            "primary": true
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autistic Treatment Center, Inc.
• Autistic Treatment Center, Inc.
• Autistic Treatment Center, Inc.
• Ezell S Autrey, MD
• Jennifer Kent Autry, PMHNP
• Autumn E Stoos, DO, PLLC
• Autumn Haven Residential Facility
• Autumn Journey Hospice, Inc.
• Auveta DME LLC
• James Robert Auvil, OD

• Phlebotomy Technician in Dallas, TX
• Providers in Dallas, TX by specialty
• Phlebotomy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.