KEISHA ETIENNE
NPI 1629808886
Technician, Pathology - Phlebotomy in Conyers, GA

Q: What is Keisha Etienne's NPI number?

The NPI number for Keisha Etienne is 1629808886. It was assigned to this individual provider in the NPPES registry on August 2, 2024.

Q: What is Keisha Etienne'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 Keisha Etienne was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 02, 2024

1311 MILSTEAD AVE NE STE 321, CONYERS, GA 30012(678) 599-9800 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2024, Aug 2, 2024 (2 updates tracked since 2024).

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About Keisha Etienne NPPES

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

KEISHA ETIENNE (NPI 1629808886) is an individual phlebotomy provider in Conyers, Georgia, licensed in Georgia (C9P8A7M3) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1629808886

Entity TypeIndividualFemale

Primary Taxonomy246RP1900X

Provider Legal NameKEISHA ETIENNE

Location Address1311 MILSTEAD AVE NE STE 321Conyers, GA 30012-3829

Mailing Address1311 Milstead Ave Ne Ste 321Conyers, GA 30012-3829 · (678) 599-9800

Phone(678) 599-9800

Sole ProprietorYes

Enumeration DateAugust 2, 2024

Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration

NPPES CertifiedAugust 14, 2024

✔ NPI 1629808886 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 GA · C9P8A7M3

1311 MILSTEAD AVE NE STE 321, Conyers, GA 30012

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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 Keisha Etienne's NPI number?

The NPI number for Keisha Etienne is 1629808886. It was assigned to this individual provider in the NPPES registry on August 2, 2024.

Where is Keisha Etienne located?

Keisha Etienne practices at 1311 Milstead Ave NE Ste 321, Conyers, GA 30012. The listed phone number is (678) 599-9800.

What is Keisha Etienne'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 Keisha Etienne was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.