Active NPI
Nkem Zos, DR. DNP, CRNP-PMH
- Family Nurse Practitioner
- Laurel, MD
National Provider Identifier
1811317472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R170520
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140715002143 | MD | Practitioner - Nurse Practitioner | 4183849730 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R170520 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unique Health Clinic, LLC | Current | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Laurel, MD
- NPI 1831704121
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.