Individual provider Active NPI

Tatiana Nigam Miandabo

  • Case Manager/Care Coordinator
  • Washington, DC
National Provider Identifier
1205683406
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2759 Martin Luther King Jr Ave SE Ste 301
Washington, DC 20032-2651
Phone
(202) 827-9961
NPI assigned
May 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2759 Martin Luther King Jr Ave SE Ste 301
Washington, DC 20032-2651

Mailing address

2759 Martin Luther King Jr Ave SE Ste 301
Washington, DC 20032-2651
Phone (202) 827-9961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Health Services, LLC CurrentSince May 7, 2024 Accepting new patients

Locations

2759 Martin Luther King Jr Ave SE
Ste 301
Washington, DC 20032
Phone (202) 827-9961

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1714780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1205683406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2759 MARTIN LUTHER KING JR AVE SE STE 301",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322651",
            "telephone_number": "202-827-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 MARTIN LUTHER KING JR AVE SE STE 301",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322651",
            "telephone_number": "202-827-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIANDABO",
        "first_name": "TATIANA",
        "middle_name": "NIGAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-04",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.