KANEETAH VELMA PRIDGEN MA-P
NPI 1285202705
Technician, Pathology - Phlebotomy in Spanaway, WA

Q: What is Kaneetah Pridgen's NPI number?

The NPI number for Kaneetah Pridgen is 1285202705. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Q: What is Kaneetah Pridgen'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 Kaneetah Pridgen was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 11, 2021

17827 18TH AVENUE CT E, SPANAWAY, WA 98387(253) 273-0571 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kaneetah Velma Pridgen Ma-p NPPES

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

KANEETAH VELMA PRIDGEN MA-P (NPI 1285202705) is an individual phlebotomy provider in Spanaway, Washington, licensed in Washington (PC60845589) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1285202705

Entity TypeIndividualFemale

Primary Taxonomy246RP1900X

Provider Legal NameKANEETAH VELMA PRIDGENCredential: MA-P

Location Address17827 18TH AVENUE CT ESpanaway, WA 98387-4119

Mailing Address17827 18th Avenue Ct ESpanaway, WA 98387-4119 · (253) 273-0571

Phone(253) 273-0571

Sole ProprietorNo

Enumeration DateJune 11, 2021

NPPES CertifiedJune 11, 2021

✔ NPI 1285202705 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

License✔ Licensed in WA · PC60845589

17827 18TH AVENUE CT E, Spanaway, WA 98387

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Other Identifiers 1

Other604769510WA · Ubi

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNDERCOVER ANGELS MOBILE PHLEBOTOMY LLC

Pathology (Clinical Pathology/Laboratory Medicine)

17827 18TH AVENUE CT E
SPANAWAY, WA 98387

Pierce County (253) 273-0571

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 Kaneetah Pridgen's NPI number?

The NPI number for Kaneetah Pridgen is 1285202705. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Where is Kaneetah Pridgen located?

Kaneetah Pridgen practices at 17827 18th Avenue Ct E, Spanaway, WA 98387. The listed phone number is (253) 273-0571.

What is Kaneetah Pridgen'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 Kaneetah Pridgen was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.