Individual provider Active NPI

Tonya Jenettia Balthrop, L.P.N.

  • Licensed Practical Nurse
  • Chester, VA
National Provider Identifier
1275836397
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
0002068793 Issued in VA
Practice address
4318 Old Hundred Rd Ste G
Chester, VA 23831-4231
Phone
(703) 386-0088
NPI assigned
Dec 11, 2010
Last updated
Feb 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 0002068793 VA Primary

Addresses

Primary practice location

4318 Old Hundred Rd Ste G
Chester, VA 23831-4231

Mailing address

4318 Old Hundred Rd Ste G
Chester, VA 23831-4231
Phone (703) 386-0088

Other practice location 1

241 Arboretum Pl
#313
Richmond, VA 23236-3485
Phone (804) 677-4426

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
0002068793VAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1292025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1275836397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 OLD HUNDRED RD STE G",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238314231",
            "telephone_number": "703-386-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 OLD HUNDRED RD STE G",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238314231",
            "telephone_number": "703-386-0088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 Arboretum Pl",
            "address_2": "#313",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232363485",
            "country_code": "US",
            "telephone_number": "804-677-4426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALTHROP",
        "first_name": "TONYA",
        "middle_name": "JENETTIA",
        "name_prefix": "Ms.",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-11",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002068793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.