Individual provider Active NPI

Tanya Lafalaise, CPRP

  • Case Manager/Care Coordinator
  • Towson, MD
National Provider Identifier
1003601436
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
75562276 Issued in MD
Practice address
22 W Pennsylvania Ave Ste 200
Towson, MD 21204-5017
Phone
(410) 330-1595
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 75562276 MD Primary

Addresses

Primary practice location

22 W Pennsylvania Ave Ste 200
Towson, MD 21204-5017

Mailing address

103 Mariners Way
Cambridge, MD 21613-3059
Phone (443) 787-8189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
75562276MDMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
A Fresh Pathway to Wellness CurrentSince Apr 20, 2025 Accepting new patients

Locations

22 W Pennsylvania Ave
Ste 200
Towson, MD 21204
Phone (410) 330-1595

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1003601436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MARINERS WAY",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216133059",
            "telephone_number": "443-787-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W PENNSYLVANIA AVE STE 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045017",
            "telephone_number": "410-330-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFALAISE",
        "first_name": "TANYA",
        "name_prefix": "Ms.",
        "credential": "CPRP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MD",
            "license": "75562276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.