Individual provider Active NPI

Gloria Asiamah Fosu, RN, MSN, PMHMP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1003560566
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R176670 Issued in MD
Practice address
14502 Greenview Dr Suit 455
Laurel, MD 20708-2070
Phone
(240) 752-4513
NPI assigned
Feb 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R176670 MD Primary

Addresses

Primary practice location

14502 Greenview Dr Suit 455
Laurel, MD 20708-2070

Mailing address

14502 Greenview Dr Ste 455
Laurel, MD 20708-3287
Phone (240) 752-4513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20240424003872 DC Practitioner - Nurse Practitioner 7517307564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14502 Greenview Dr
Suite 427
Laurel, MD 20708-3287
Phone (240) 752-4513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R176670MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur Behavioural Healthcare Services CurrentSince Feb 19, 2024 Accepting new patients

Locations

14502 Greenview Dr
#427
Laurel, MD 20708
Phone (240) 360-7308

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": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1003560566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 GREENVIEW DR STE 455",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083287",
            "telephone_number": "240-752-4513",
            "fax_number": "949-577-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 GREENVIEW DR SUIT 455",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082070",
            "telephone_number": "240-752-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSU",
        "first_name": "GLORIA",
        "middle_name": "ASIAMAH",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, PMHMP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R176670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.