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

Mr. Sosthene Mballa Ndomo, NP

Individual provider Licensed Practical Nurse · NPI 1750050522

Mr. Sosthene Mballa Ndomo, NP is a Nurse Practitioner in Alexandria, Virginia. Qualified in 2021, 5 years ago. Practices with Inova Health Care Services, a 1,827-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

6463 Rockshire Ct
Alexandria, VA 22315-3428
Phone: (571) 208-6962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 0024182625 (VA)
Nurse Practitioner Taxonomy 363L00000X · Licence 0024182625 (VA)

Record details

NPI number1750050522
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedSeptember 7, 2021
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Inova Health Care Services — 1827 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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