Individual provider Active NPI

Sylvianne Akum

  • Psychiatric/Mental Health Nurse Practitioner
  • Nottingham, MD
National Provider Identifier
1336768787
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R168250 Issued in MD
Practice address
5022 Campbell Blvd Ste L-M
Nottingham, MD 21236-4969
Phone
(443) 442-1568
Fax
(443) 442-1569
NPI assigned
Apr 15, 2020
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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 R168250 MD Primary

Addresses

Primary practice location

5022 Campbell Blvd Ste L-M
Nottingham, MD 21236-4969

Mailing address

7531 Roxy Dr
Baltimore, MD 21244-2064
Phone (410) 922-6441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20200924001722 MD Practitioner - Nurse Practitioner 1456770478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aspire Wellness Center IncGroup PAC ID 2961685706, 41 clinicians

Practice addresses (Care Compare)

5022 Campbell Blvd
Suite L M
Nottingham, MD 21236-4969
Phone (443) 442-1568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omnis Health Life, LLC CurrentSince Sep 18, 2020 Accepting new patients
Aspire Wellness Center, Inc. CurrentSince Oct 27, 2022 Accepting new patients
Sound Wellness Center Psychiatric/Mental Health CurrentSince May 3, 2023 Accepting new patients

Locations

2200 Garrison Blvd
Baltimore, MD 21216
Phone (240) 204-5594

5022 Campbell Blvd
Ste Lm
Nottingham, MD 21236
Phone (443) 442-1568

8890 McDonogh Rd
Ste 208
Owings Mills, MD 21117
Phone (410) 559-6121

8890 McDonogh Rd
Ste 301
Owings Mills, MD 21117
Phone (410) 559-6121

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1336768787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7531 ROXY DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442064",
            "telephone_number": "410-922-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5022 CAMPBELL BLVD STE L-M",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364969",
            "telephone_number": "443-442-1568",
            "fax_number": "443-442-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKUM",
        "first_name": "SYLVIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R168250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.