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

Tamba Sam-Manimoi

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1831936350

Tamba Sam-Manimoi is a Nurse Practitioner in Alexandria, Virginia. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

2501 Parkers Ln
Alexandria, VA 22306-3209
Phone: (703) 664-7024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 204664 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1831936350
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 11, 2024
Last updated in NPPESJuly 11, 2024
Certification dateJuly 8, 2024
Mailing address2501 Parkers Ln, Alexandria, VA 22306-3209

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Alexandria