Individual provider Active NPI

Torasha Blanding

  • Case Manager/Care Coordinator
  • Chesterfield, VA
National Provider Identifier
1922477371
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
168201001 Issued in VA
Practice address
10310 Memory LN
Sutie 1a
Chesterfield, VA 23832-8828
Phone
(804) 454-1332
Fax
(804) 309-2364
NPI assigned
Sep 16, 2015
Last updated
Sep 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 168201001 VA Primary

Addresses

Primary practice location

10310 Memory LN
Sutie 1a
Chesterfield, VA 23832-8828

Mailing address

10310 Memory LN
Sutie 1a
Chesterfield, VA 23832-8828
Phone (804) 454-1332

Other identifiers 1

IdentifierTypeStateIssuer
0167355236MedicaidVA

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
168201001VAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Community Services, LLC Past Accepting new patients

Organizations & group practices 1

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": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1922477371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10310 MEMORY LN",
            "address_2": "SUTIE 1A",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238328828",
            "telephone_number": "804-454-1332",
            "fax_number": "804-309-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 MEMORY LN",
            "address_2": "SUTIE 1A",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238328828",
            "telephone_number": "804-454-1332",
            "fax_number": "804-309-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANDING",
        "first_name": "TORASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "VA",
            "license": "168201001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0167355236",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.