Organization Active NPI

Unique Health Clinic, LLC

  • Family Medicine Physician
  • Laurel, MD
National Provider Identifier
1255733119
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNIQUE HEALTH CLINIC, LLC
Practice address
13938 Baltimore Ave
Laurel, MD 20707-5000
Phone
(301) 769-6558
NPI assigned
Sep 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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

Authorized official

Name
Ms. Nkem Zos, NURSE PRACTITIONER
Title
DNP, CRNP-Pmhnp
Phone
(301) 769-6558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

13938 Baltimore Ave
Laurel, MD 20707-5000

Mailing address

13938 Baltimore Ave
Laurel, MD 20707-5000
Phone (301) 769-6558

Other identifiers 1

IdentifierTypeStateIssuer
12731759OtherMDCAQH

National Provider Directory

National Provider Directory

Locations

3425 Sinclair Ln
Baltimore, MD 21213
Phone (410) 366-1151

4000 Mitchellville Rd
Ste 220
Bowie, MD 20716
Phone (301) 257-5489

7217 Hanover Pkwy
Greenbelt, MD 20770
Phone (804) 381-5134

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14276/brand/1/csg/1/fhir/r4

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737763200000",
    "number": "1255733119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13938 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075000",
            "telephone_number": "301-769-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13938 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075000",
            "telephone_number": "301-769-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "ZOS",
        "authorized_official_first_name": "NKEM",
        "authorized_official_title_or_position": "DNP, CRNP-PMHNP",
        "authorized_official_telephone_number": "301-769-6558",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12731759",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; 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.