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

Theresa Juana-Kamanda

Individual provider Family Nurse Practitioner · NPI 1750096962

Theresa Juana-Kamanda is a Nurse Practitioner in Manassas, Virginia. Qualified in 2022, 4 years ago. Practices with Ennoble Hc Dmv LLC, a 111-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2023
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Practice location Address checks out

10625 McCormick Farm Dr
Manassas, VA 20110-6934
Phone: (571) 306-8614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 39 V St Ne, Washington, DC 20002-1329 — (551) 295-8223
  • 20130 Lakeview Center Plz Ste 400, Ashburn, VA 20147-5905 — (551) 295-8223

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2022068633 (VA)

Record details

NPI number1750096962
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 23, 2023
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ennoble Hc Dmv Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Manassas