Stephane Sia

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AC001189 Issued in MD

Practice address

8707 Commerce Dr
Easton, MD 21601-6910

Phone

(443) 239-2033

Fax

(855) 461-3481

NPI assigned

Apr 22, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DE2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Light and Mind Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Easton, MD
  • NPI 1609449677

  DE, Single Specialty

  Medicare reassignment NPD
• Unique Health Clinic, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Laurel, MD
  • NPI 1831704121
  NPD

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1376963975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 NAAMANS RD",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032308",
            "telephone_number": "302-553-3259",
            "fax_number": "302-385-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8707 COMMERCE DR",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216016910",
            "telephone_number": "443-239-2033",
            "fax_number": "855-461-3481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 N Broad St Ste 225A",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "DE",
            "postal_code": "197091173",
            "country_code": "US",
            "telephone_number": "301-873-5066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIA",
        "first_name": "STEPHANE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-22",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC002929",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "L8-0000215",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000724",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC002929",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0000215",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC001189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shore Surgical Group PA
• Shore-Bayy Hospitalists Associates
• Jennifer D Short, LCSW-C
• Diana Gail Shorter
• Bishesh Shrestha, MD
• Caroline M Sica, NP, DNP
• Angelica Isabel Sichette-Van Schaik, CCC-SLP
• James Siegman, LCSW-C
• Karen Ann Siegman, LCSWC
• Sightrite Medical MD LLC

• Family Nurse Practitioner in Easton, MD
• Providers in Easton, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.