Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Renee Blankenship

Individual provider Environmental Modification Occupational Therapy Assistant · NPI 1750988192

Shannon Renee Blankenship is an Environmental Modification Occupational Therapy Assistant in Chesterfield, Virginia. Works from 2 locations. Licensed in North Dakota.

Licensed in
ND
In the registry since
2020
Specialties on file
3

Practice location Address checks out

14341 Generation Ln
Chesterfield, VA 23838-4200
Phone: (804) 243-4603
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4136 Charles City Rd, Henrico, VA 23231-2323 — (804) 243-4603

Specialties & licences

Contractor (primary) Taxonomy 171W00000X
Environmental Modification Occupational Therapy Assistant Taxonomy 224ZE0001X
Environmental Modification Occupational Therapist Taxonomy 225XE0001X (ND)

Record details

NPI number1750988192
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2020
Last updated in NPPESOctober 8, 2020
Certification dateOctober 6, 2020