Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shanice Xavier Simon

Individual provider Phlebotomy Technician · NPI 1538785019

Shanice Xavier Simon is a Phlebotomy Technician in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1011 Carroll Pl Apt 1D
Bronx, NY 10456-6229
Phone: (347) 336-0808
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 947863 (NY)
Phlebotomy Technician Taxonomy 246RP1900X

Record details

NPI number1538785019
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 22, 2020
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address1011 Carroll Pl Apt 1d, Bronx, NY 10456-6229

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