Sandrine Laure Deighela Mapokam, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024187652 Issued in VA

Practice address

5140 River Club Dr Ste 102
Suffolk, VA 23435-3799

Phone

(757) 977-1110

NPI assigned

Oct 23, 2023

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nephrology Associates of Tidewater LTDGroup PAC ID 3173426558, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0000397

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.

• Nephrology Associates of Tidewater LTD

  • Nephrology Physician
  • Norfolk, VA
  • NPI 1518990423
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1598537755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 MORELAND ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353438",
            "telephone_number": "240-706-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 RIVER CLUB DR STE 102",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353799",
            "telephone_number": "757-977-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Medical Pkwy Ste 222",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233204985",
            "country_code": "US",
            "telephone_number": "757-436-5544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2790 Godwin Blvd Ste 255",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348156",
            "country_code": "US",
            "telephone_number": "757-925-0637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3640 High St Ste 2G",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237073213",
            "country_code": "US",
            "telephone_number": "757-977-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAPOKAM",
        "first_name": "SANDRINE LAURE",
        "middle_name": "DEIGHELA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Smith Mancuso, MD
• Stacey Arleen Manley
• John Victor Mansoor, M.D.
• Angel Renee Mantay, AGACNP-BC
• Vivian U Mapanao, MD
• Shaila Marcano-Stewart, COTA/L
• Aaron L Marlow, M.D.
• Desirae Jones Marshall, LPN
• Samantha Marie Persson Marshall, FNP-BC
• Christy-Ana Martin, RBT

• Family Nurse Practitioner in Suffolk, VA
• Providers in Suffolk, 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 Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.