Individual provider Active NPI

Nkem Zos, DR. DNP, CRNP-PMH

  • Family Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1811317472
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R170520 Issued in MD
Practice address
13938 Baltimore Ave
Laurel, MD 20707-5000
Phone
(301) 769-6558
NPI assigned
Apr 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R170520 MD Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

13938 Baltimore Ave
Laurel, MD 20707-5000

Mailing address

13938 Baltimore Ave Ste 3B
Laurel, MD 20707-5000
Phone (301) 769-6558

Other practice location 1

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

Other names 1

  • Stephane Sia Other name

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
I20140715002143 MD Practitioner - Nurse Practitioner 4183849730

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R170520MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Health Clinic, LLC CurrentSince Sep 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7217 Hanover Pkwy
Ste B
Greenbelt, MD 20770

13938 Baltimore Ave
Laurel, MD 20707
Phone (301) 769-6370

13938 Baltimore Ave
Ste 3B
Laurel, MD 20707
Phone (571) 285-2982

Organizations & group practices 2

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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1811317472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13938 BALTIMORE AVE STE 3B",
            "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": [
        {
            "address_1": "13938 Baltimore Ave",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207075000",
            "country_code": "US",
            "telephone_number": "301-769-6558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOS",
        "first_name": "NKEM",
        "credential": "DR. DNP, CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R170520",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANE",
            "last_name": "SIA",
            "credential": "DR. DNP, CRNP-PMH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.