Samantha Tieng

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024197579 Issued in VA

Practice address

15521 Midlothian Tpke Ste 102
Midlothian, VA 23113-7313

Phone

(804) 905-8930

NPI assigned

May 28, 2026

Last updated

May 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kidmed Inc.

  dba KidMed West End

  • Urgent Care Clinic/Center
  • Glen Allen, VA
  • NPI 1407013121
  NPD (past)

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1124959895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11824 CARTERS CREEK DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238383049",
            "telephone_number": "804-432-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15521 MIDLOTHIAN TPKE STE 102",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231137313",
            "telephone_number": "804-905-8930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5021 Craig Rath Blvd",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231126243",
            "country_code": "US",
            "telephone_number": "804-592-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIENG",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024197579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Threshold Medical, PLC (Threshold Medical)
• Kendall V Thurman, D.O.
• Tidewater Physical Therapy LLC (Pivot Physical Therapy of Virginia)
• Tidewater Physical Therapy LLC (Pivot Physical Therapy)
• Tidewater Physical Therapy, LLC
• Tiesing Healthcare
• Sarah W Tiesing
• Dana M Timmer, M.A.
• Jelisa A Timmons, M.D.
• TMT Non Emergency Transportation Service LLC

• Family Nurse Practitioner in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.