Grace A Nimoh

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0002099391 Issued in VA

Practice address

8427 Dorsey Cir
Manassas, VA 20110-4596

Phone

(703) 330-7517

Fax

(703) 656-4893

NPI assigned

Sep 2, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sellati & Co., Inc.

  dba Manassas Comprehensive Treatment Center

  • Community/Behavioral Health Agency
  • Manassas, VA
  • NPI 1053562066
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1003584194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8427 DORSEY CIR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104596",
            "telephone_number": "703-330-7517",
            "fax_number": "703-656-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8427 DORSEY CIR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104596",
            "telephone_number": "703-330-7517",
            "fax_number": "703-656-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMOH",
        "first_name": "GRACE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002099391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NH Digital Health Services, LLC (Novant Health Digital Care Group)
• Chenling Ni
• Amy Michelle Estep Nichols, C-PNP
• Rachael Nicklas
• Ana Nieves
• Anulika Adaeze Njubigbo
• Afia Nkansah Boakye, PHARMACIST
• Alexis Boatemaah Nketiah, FNP
• Joyce Nkrumah
• NMG Affiliate Practice I LLC (Novant Health UVA Health System Virginia Internal Medicine & Primary C)

• Licensed Practical Nurse in Manassas, VA
• Providers in Manassas, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.