Jemima Manu, MD

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4037 Issued in VA

Practice address

15 Otto Way
Fredericksburg, VA 22406-7464

Phone

(157) 406-9785

NPI assigned

Jul 31, 2023

Last updated

Jul 31, 2023By the provider in NPPES

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

Credentials

Doctor of Medicine

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.

• Adom Group Homes LLC

  • Developmentally Disabled Services Day Training Agency
  • Fredericksburg, VA
  • NPI 1922870682
  NPD Authorized official

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1386325322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OTTO WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224067464",
            "telephone_number": "157-406-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OTTO WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224067464",
            "telephone_number": "157-406-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANU",
        "first_name": "JEMIMA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "4037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela M. Manion, LPC
• Anusha Manje Gowda, MD
• Benjamin Ryan Mann, DO
• Priya Manohar
• Arash Mansouri, MD
• Stephanie Manu, RBT
• Jenel Manuel
• Usman Amjia Manzoor, MD
• Map RC LLC (Prime Regenerative and Pain Management)
• Map RC LLC (Prime Regenerative and Pain Management)

• Community/Behavioral Health Agency in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.