Tamba Sam-Manimoi
NPI 1831936350ActiveIndividual· Registered Nurse, General Practice· Alexandria, VA
Registered Nurse, General Practice with Mid-South Home Care Services LLC, practicing in Alexandria, Virginia. Enrolled in Medicare as practitioner - nurse practitioner and practitioner - nurse practitioner.
Overview
| NPI | 1831936350 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jul 11, 2024 |
| Last updated in NPPES | Jul 11, 2024 |
| Certified by provider | Jul 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, General Practice Primary | 163WG0000X | 204664 | MD |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (DC); Practitioner - Nurse Practitioner (VA) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Mid-South Home Care Services LLCAlpharetta, GA · 110 clinicians
Other Registered Nurse, General Practice providers in Alexandria
- 1164059242
- 1871894410
All Registered Nurse, General Practice providers in Virginia →