Carla A Chacho-Blanchard

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

10483 Issued in CT

Practice address

239 Gay Hill Rd
N/a
Uncasville, CT 06382

Phone

(860) 367-4849

NPI assigned

Mar 5, 2021

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 5, 2021.

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1831784313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 GAY HILL RD",
            "address_2": "N/A",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "06382",
            "telephone_number": "860-367-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 GAY HILL RD",
            "address_2": "N/A",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "06382",
            "telephone_number": "860-367-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACHO-BLANCHARD",
        "first_name": "CARLA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CT",
            "license": "10483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Uncasville, CT
• Massage Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.