Chosen One - TDC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CHOSEN ONE - TDC

Practice address

10502 Marions Way
Glen Allen, VA 23060-4009

Phone

(804) 517-4411

Fax

(804) 261-2186

NPI assigned

Feb 20, 2024

Last updated

Feb 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tyquan ChurchwellNPI 1346029147

Title

Service Facilitator

Phone

(804) 517-4411

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tyquan Churchwell, RN

  • Case Management Agency
  • Glen Allen, VA
  • NPI 1346029147
  NPD Authorized official

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1942065743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10502 MARIONS WAY",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604009",
            "telephone_number": "804-517-4411",
            "fax_number": "804-261-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10502 MARIONS WAY",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604009",
            "telephone_number": "804-517-4411",
            "fax_number": "804-261-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOSEN ONE - TDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "CHURCHWELL",
        "authorized_official_first_name": "TYQUAN",
        "authorized_official_title_or_position": "SERVICE FACILITATOR",
        "authorized_official_telephone_number": "804-517-4411"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarence G. Childress, M.D.
• Ananya Chillara
• Chiro One Wellness Center of Glen Allen LLC
• Chirovirginia LLC (ChiroVirginia)
• Chitti Mengji DDS PC
• Arielle Choudry, AGACNP-BC
• Theresa Christian, M.ED.
• Sarah Christman, NP
• Suzanne M Christopher, LCSW
• Walter J Chun, MD

• Case Management Agency in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Case Management Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.