MS. SIA KOMBA NURSE PRACTITIONER NPI 1518587807

NPI Information

  • NPI: 1518587807
  • Provider Name: MS. SIA KOMBA, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 855 SAM NEWELL RD STE 100
    MATTHEWS, NC
    ZIP 28105
  • Phone: (704) 360-3637

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NPI Details

MS. Sia Komba, NURSE PRACTITIONER is a psychiatric/mental health nurse practitioner in Matthews, NC with 9 years of experience. MS. Sia Komba, NURSE PRACTITIONER NPI is 1518587807. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

855 SAM NEWELL RD STE 100
MATTHEWS, NC
ZIP 28105-593
Phone: (704) 360-3637

The NPI 1518587807 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/16/2020 and was last updated on 7/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care21422SOUTH CAROLINANo
2363LA2100XNurse PractitionerAcute Care5017086NORTH CAROLINANo
3363LA2200XNurse PractitionerAdult Health21422SOUTH CAROLINANo
4363LP0808XNurse PractitionerPsychiatric/Mental Health21422SOUTH CAROLINANo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthC-RXN.0102773-C-NPCOLORADONo
6363LP0808XNurse PractitionerPsychiatric/Mental HealthAC007563MARYLANDNo
7363LP0808XNurse PractitionerPsychiatric/Mental Health5017086NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NP7807MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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