Active NPI
Sylvie Mah Fon, NP
- Psychiatric/Mental Health Nurse Practitioner
- Hagerstown, MD
National Provider Identifier
1083196414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R187192
- Practice address
- 44 N Potomac St Ste 103
Hagerstown, MD 21740-3301 - Phone
- (301) 793-9383
- NPI assigned
- Sep 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R187192 | MD | Primary |
Addresses
Primary practice location
44 N Potomac St Ste 103
Hagerstown, MD 21740-3301
Mailing address
2808 Mozart Dr
Silver Spring, MD 20904
Phone (301) 793-9383
Other practice location 1
2808 Mozart Dr
Silver Spring, MD 20904
Phone (301) 793-9383
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R187192 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1083196414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 MOZART DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "20904",
"telephone_number": "301-793-9383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 N POTOMAC ST STE 103",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217403301",
"telephone_number": "301-793-9383"
}
],
"practiceLocations": [
{
"address_1": "2808 Mozart Dr",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "20904",
"country_code": "US",
"telephone_number": "301-793-9383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FON",
"first_name": "SYLVIE",
"middle_name": "MAH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-01",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R187192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.