Individual provider Active NPI

Virginie Wandji Tokha

  • Family Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1821567835
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP019574 Issued in PA
Practice address
2401 Park Dr Ste 101
Harrisburg, PA 17110-9303
Phone
(717) 686-9842
NPI assigned
Nov 19, 2018
Last updated
Nov 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP019574 PA Primary

Addresses

Primary practice location

2401 Park Dr Ste 101
Harrisburg, PA 17110-9303

Mailing address

5616 Wedge LN
Allentown, PA 18106-9681
Phone (484) 522-7609

Other practice location 1

838 Penn St
Reading, PA 19602-1108
Phone (610) 988-4838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200413002662 PA Practitioner - Nurse Practitioner 7517203938 Reassigns benefits to 2 organizations
I20221024000838 VA Practitioner - Nurse Practitioner 7517203938 Reassigns benefits to 1 organization
I20251002001905 MD Practitioner - Nurse Practitioner 7517203938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimal Primary Care LLCGroup PAC ID 2264964501, 3 clinicians

Practice addresses (Care Compare)

6408 Mulberry LN
Macungie, PA 18062-9310
Phone (610) 864-6947

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP019574PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Primary Care LLC Family CurrentSince Sep 26, 2024 Accepting new patients
Signify Health, LLC CurrentSince Jan 17, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 21, 2023 Accepting new patients
Landmark Connect of Pennslyvania PC PastSince Nov 10, 2019 Accepting new patients

Locations

4690 Millennium Dr
Fl 3
Belcamp, MD 21017
Phone (410) 903-5982

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

Interoperability endpoints

  • Direct secure messaging: vtokha@landmarkhealth-direct.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1821567835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5616 WEDGE LN",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069681",
            "telephone_number": "484-522-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PARK DR STE 101",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109303",
            "telephone_number": "717-686-9842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "838 Penn St",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196021108",
            "country_code": "US",
            "telephone_number": "610-988-4838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOKHA",
        "first_name": "VIRGINIE",
        "middle_name": "WANDJI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.