KHANDRA ARIES IVY
NPI 1063199750
Technician, Pathology - Phlebotomy in Okolona, MS

Q: What is Khandra Ivy's NPI number?

The NPI number for Khandra Ivy is 1063199750. It was assigned to this individual provider in the NPPES registry on July 3, 2023. The provider is also known as Miss Khandra Aries Ivy Cmaa/Phlebotomist.

Q: What is Khandra Ivy's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

Q: When was this NPI record last updated?

The NPPES record for Khandra Ivy was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 03, 2023

127 DRIVE 156, OKOLONA, MS 38860(662) 760-3031 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Khandra Aries Ivy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHANDRA ARIES IVY (NPI 1063199750) is an individual phlebotomy provider in Okolona, Mississippi and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1063199750

Entity TypeIndividualFemale

Primary Taxonomy246RP1900X

Provider Legal NameKHANDRA ARIES IVY

Location Address127 DRIVE 156Okolona, MS 38860-9677

Mailing Address127 Drive 156Okolona, MS 38860-9677 · (662) 760-3031

Phone(662) 760-3031

Sole ProprietorNo

Enumeration DateJuly 3, 2023

NPPES CertifiedJuly 3, 2023

✔ NPI 1063199750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246RP1900X

127 DRIVE 156, Okolona, MS 38860

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Other Names 1

Other Name (5)Miss Khandra Aries Ivy Cmaa/phlebotomist

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khandra Ivy's NPI number?

The NPI number for Khandra Ivy is 1063199750. It was assigned to this individual provider in the NPPES registry on July 3, 2023. The provider is also known as Miss Khandra Aries Ivy Cmaa/Phlebotomist.

Where is Khandra Ivy located?

Khandra Ivy practices at 127 Drive 156, Okolona, MS 38860. The listed phone number is (662) 760-3031.

What is Khandra Ivy's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

When was this NPI record last updated?

The NPPES record for Khandra Ivy was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.