Active NPI
Stella S Fru
- Psychiatric/Mental Health Nurse Practitioner
- Temple Hills, MD
National Provider Identifier
1851173835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R170770
- Practice address
- 3611 Branch Ave
Temple Hills, MD 20748-1242 - Phone
- (301) 909-0123
- Fax
- (301) 909-0050
- NPI assigned
- Oct 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R170770 | MD | Primary |
Addresses
Primary practice location
3611 Branch Ave
Temple Hills, MD 20748-1242
Mailing address
1203 Redcrested CT
Upper Marlboro, MD 20774-7081
Phone (703) 200-9084
Other names 1
- Stella S Fru
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R170770 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transforming Lives Health Care LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Upper Marlboro, MD
- NPI 1598634115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762041600000",
"number": "1851173835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 REDCRESTED CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207747081",
"telephone_number": "703-200-9084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 BRANCH AVE",
"city": "TEMPLE HILLS",
"state": "MD",
"postal_code": "207481242",
"telephone_number": "301-909-0123",
"fax_number": "301-909-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRU",
"first_name": "STELLA",
"middle_name": "S",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-16",
"last_updated": "2025-11-02",
"certification_date": "2025-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R170770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STELLA",
"last_name": "FRU",
"middle_name": "S",
"credential": "PMHNP-BC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Temple Hills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.