Tosha Blackmon, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

300228 Issued in TX

Practice address

101 Redwater Rd Apt 296
Wake Village, TX 75501-5747

Phone

(903) 475-6173

NPI assigned

Jan 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1831805894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 REDWATER RD APT 296",
            "city": "WAKE VILLAGE",
            "state": "TX",
            "postal_code": "755015747",
            "telephone_number": "903-475-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 REDWATER RD APT 296",
            "city": "WAKE VILLAGE",
            "state": "TX",
            "postal_code": "755015747",
            "telephone_number": "903-475-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMON",
        "first_name": "TOSHA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "300228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tosha@gracepointhealthcarellc.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Redwater Rd Apt 296",
            "city": "Wake Village",
            "state": "TX",
            "country_code": "US",
            "postal_code": "755015747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Albertsons LLC (Albertsons Pharmacy #0135)
• Jennifer Kay Anthony, CRNA
• Ark-la-Tex Total Healthcare, LLC (Total Healthcare of Ark La Tex, LLC)
• Aspire Healthcare Solutions
• Bryan D Bowen, MD
• Cecilia Cade
• Ansuk Cho
• Collom & Carney Clinic
• Collom & Carney Clinic Association

• Licensed Vocational Nurse in Wake Village, TX
• Providers in Wake Village, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.