Individual provider Active NPI

Takasha Blassingame

  • Community Health Registered Nurse
  • Piedmont, SC
National Provider Identifier
1598381964
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
238943 Issued in SC
Practice address
118 Camden Dr
Piedmont, SC 29673-9227
Phone
(864) 361-2990
NPI assigned
Jun 22, 2020
Last updated
Jun 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 238943 SC Primary
Continuing Education/Staff Development Registered Nurse 163WC1600X 238943 SC

Addresses

Primary practice location

118 Camden Dr
Piedmont, SC 29673-9227

Mailing address

118 Camden Dr
Piedmont, SC 29673-9227
Phone (864) 361-2990

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
238943SCMDContinuing Education/Staff Development Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1598381964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CAMDEN DR",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296739227",
            "telephone_number": "864-361-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CAMDEN DR",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296739227",
            "telephone_number": "864-361-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASSINGAME",
        "first_name": "TAKASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "SC",
            "license": "238943",
            "primary": true
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "SC",
            "license": "238943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.