Individual provider Active NPI

Tristann Jamie Blankenship, LSW

  • Social Worker
  • Columbus, OH
National Provider Identifier
1023620119
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
3901 E Livingston Ave
Columbus, OH 43227-2302
Phone
(614) 252-4941
NPI assigned
Aug 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Social Worker 104100000X Primary

Addresses

Primary practice location

3901 E Livingston Ave
Columbus, OH 43227-2302

Mailing address

2000 Noble Dr
Wooster, OH 44691-5353
Phone (330) 264-3232

Other practice location 1

1751 E Long St
Columbus, OH 43203-2045
Phone (614) 301-0069

Other practice location 2

4653 E Main St
Whitehall, OH 43213-3298
Phone (614) 551-4310

Other practice location 3

2000 Noble Dr
Wooster, OH 44691-5353
Phone (330) 264-3232

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Behavioral Columbus, LLC Current Accepting new patients
Community for New Direction CurrentSince Mar 24, 2025 Accepting new patients
Community for New Direction CurrentSince Jan 19, 2025 Accepting new patients

Locations

3901 E Livingston Ave
Columbus, OH 43227
Phone (614) 252-4941

2096 W Mound St
Columbus, OH 43223

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/cndcolumbus/r4/

Organizations & group practices 3

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": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1023620119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NOBLE DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446915353",
            "telephone_number": "330-264-3232",
            "fax_number": "330-264-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 E LIVINGSTON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432272302",
            "telephone_number": "614-252-4941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1751 E Long St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432032045",
            "country_code": "US",
            "telephone_number": "614-301-0069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4653 E Main St",
            "address_purpose": "LOCATION",
            "city": "Whitehall",
            "state": "OH",
            "postal_code": "432133298",
            "country_code": "US",
            "telephone_number": "614-551-4310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Noble Dr",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446915353",
            "country_code": "US",
            "telephone_number": "330-264-3232",
            "fax_number": "330-264-2879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "TRISTANN",
        "middle_name": "JAMIE",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.