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TABULA RASA, PLLC
NPI 1407396773
Preferred Provider Organization in Crab Orchard, WV

Active since March 06, 2017
1296 ROBERT C. BYRD DRIVE, CRAB ORCHARD, WV 25827(681) 238-5957(681) 238-5958 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tabula Rasa, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TABULA RASA, PLLC (NPI 1407396773) is a healthcare organization registered as a preferred provider organization in Crab Orchard, West Virginia and active in the NPI registry since March 2017. The organization lists Kevin Blankenship, Owner, as its authorized official.

NPPES Registry Identity

NPI1407396773
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameTABULA RASA, PLLC
Location Address1296 ROBERT C. BYRD DRIVECrab Orchard, WV 25827
Mailing AddressPo Box 415Crab Orchard, WV 25827-0415 · (681) 238-5957 · Fax (681) 238-5958
Phone(681) 238-5957
Fax(681) 238-5958
Organization SubpartNo
Authorized OfficialKevin BlankenshipOwner · (681) 238-5957
Enumeration DateMarch 6, 2017
✔ NPI 1407396773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in WV · 19121
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
1296 ROBERT C. BYRD DRIVE, Crab Orchard, WV 25827
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. STEVEN WARREN STURGILL MA MSW LPC LCSW
Counselor (Addiction (Substance Use Disorder))
1296 ROBERT C. BYRD DRIVE
CRAB ORCHARD, WV 25827
Raleigh County (681) 238-5957
MRS. BROOKE BLANKENSHIP MSW,LSW
Counselor (Addiction (Substance Use Disorder))
1296 ROBERT C. BYRD DRIVE
CRAB ORCHARD, WV 25827
Raleigh County (681) 238-5957

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tabula Rasa, PLLC's NPI number?

The NPI number for Tabula Rasa, PLLC is 1407396773. It was assigned to this organization in the NPPES registry on March 6, 2017.

Where is Tabula Rasa, PLLC located?

Tabula Rasa, PLLC is located at 1296 Robert C. Byrd Drive, Crab Orchard, WV 25827. The listed phone number is (681) 238-5957.

What is Tabula Rasa, PLLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Tabula Rasa, PLLC was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.