Individual provider Active NPI

Victoria Reyes Blossman, DO

  • Family Medicine Physician
  • Folsom, LA
National Provider Identifier
1073075008
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
327751 Issued in LA
Practice address
82525 Highway 25
Folsom, LA 70437-6111
Phone
(985) 898-4001
NPI assigned
Mar 31, 2019
Last updated
Aug 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 327751 LA Primary

Addresses

Primary practice location

82525 Highway 25
Folsom, LA 70437-6111

Mailing address

PO Box 669379
Dallas, TX 75266-9379
Phone (985) 898-4493

Other identifiers 1

IdentifierTypeStateIssuer
1073075008MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220619000022 LA Practitioner - Family Practice 7719213636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
William Carey University College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

82525 Hwy 25
Folsom, LA 70437-6111
Phone (985) 839-9895

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Parish Hospital Service District No 1 CurrentSince Aug 1, 2022 Accepting new patients
Rapid Urgent Care, Inc Current Accepting new patients
St. Tammany Parish Hospital Service District No 1 Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Rapid Urgent Care, Inc. Current Accepting new patients
Rapid Urgent Care, Inc. CurrentSince May 3, 2022 Accepting new patients
Rapid Urgent Care, Inc CurrentSince May 3, 2022 Accepting new patients

Locations

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

82525 Highway 25
Folsom, LA 70437
Phone (985) 839-9895

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

Organizations & group practices 6

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

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1073075008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669379",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752669379",
            "telephone_number": "985-898-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82525 HIGHWAY 25",
            "city": "FOLSOM",
            "state": "LA",
            "postal_code": "704376111",
            "telephone_number": "985-898-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOSSMAN",
        "first_name": "VICTORIA",
        "middle_name": "REYES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-31",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "327751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073075008",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, LA

Sources for this page

Verify at the official NPI Registry.