Jack of All Stixx
NPI 1700611563ActiveOrganization· Technician, Pathology, Phlebotomy· Greensboro, NC
Technician, Pathology, Phlebotomy in Greensboro, North Carolina, registered in NPPES in September 2024. The authorized official on file is Detavia Kenan, Owner.
Overview
| NPI | 1700611563 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 3, 2024 |
| Last updated in NPPES | Sep 3, 2024 |
| Certified by provider | Sep 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician, Pathology, Phlebotomy Primary | 246RP1900X | — | — |
| In Home Supportive Care | 253Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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