Active NPI
Cierra Lasha' Blanding
- Athletic Trainer
- Lansdowne, VA
National Provider Identifier
1992588446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126002121
- Practice address
- 19455 Deerfield Ave Ste 306
Lansdowne, VA 20176-8102 - Phone
- (703) 729-5010
- Fax
- (703) 729-5833
- NPI assigned
- Aug 17, 2023
- Last updated
- Aug 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0126002121 | VA | Primary |
Addresses
Primary practice location
19455 Deerfield Ave Ste 306
Lansdowne, VA 20176-8102
Mailing address
20725 Wood Quay Dr Unit 336
Sterling, VA 20166-7073
Phone (757) 206-3686
Other names 1
- Ms. Cierra Lasha' Washington
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0126002121 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1992588446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20725 WOOD QUAY DR UNIT 336",
"city": "STERLING",
"state": "VA",
"postal_code": "201667073",
"telephone_number": "757-206-3686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19455 DEERFIELD AVE STE 306",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201768102",
"telephone_number": "703-729-5010",
"fax_number": "703-729-5833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANDING",
"first_name": "CIERRA",
"middle_name": "LASHA'",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-17",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126002121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CIERRA",
"last_name": "WASHINGTON",
"middle_name": "LASHA'",
"prefix": "MS.",
"credential": "ATC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lansdowne, VA
- Rajesh Balakrishnan, DDS
- Yaqub M. Baraki, M.D.
- Marianne K Bardwell, MS CCC SLP
- Barry R. Maharaj, DDS & Anh H. Pham, DDS, PC (Lansdowne Oral Surgery)
- Kristen Lundberg Birkland, LMFT
- Blue Ridge Speech & Hearing Center of Loudoun County, Inc.
- Christine Borgelt, PH.D.
- Elaine P. Bourdeau, O.D.
- Laura Bowling-Nguyen, MSW, LCSW
- Jasmit Singh Brar, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.