Individual provider Active NPI

Gloria Alice Johnston, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Waldorf, MD
National Provider Identifier
1013601608
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R219675 Issued in MD
Practice address
50 Post Office Rd Ste 302
Waldorf, MD 20602-3704
Phone
(240) 353-2516
Fax
(240) 448-8893
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X R219675 MD Primary

Addresses

Primary practice location

50 Post Office Rd Ste 302
Waldorf, MD 20602-3704

Mailing address

50 Post Office Rd Ste 302
Waldorf, MD 20602-3704
Phone (240) 353-2516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20231208003238 MD Practitioner - Nurse Practitioner 2365896941 Reassigns benefits to 3 organizations
I20240124004437 DC Practitioner - Nurse Practitioner 2365896941

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Glow Kare Health ServicesGroup PAC ID 2264963487, 3 clinicians

Practice addresses (Care Compare)

2316 Knotweed CT
Waldorf, MD 20603-4946
Phone (240) 353-2516

50 Post Office Rd
Suite 302
Waldorf, MD 20602-3704
Phone (301) 200-9958

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R219675MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Glow & Co Mental Health Solutions Psychiatric/Mental Health CurrentSince Mar 2, 2026 Accepting new patients
New Spring Behavioral Health LLC Single Specialty CurrentSince Dec 17, 2023 Accepting new patients
Vitalcare Integrative Health Single Specialty CurrentSince May 1, 2024 Accepting new patients
Glow Kare Health Services Psychiatric/Mental Health CurrentSince Oct 13, 2024 Accepting new patients
Glow Kare Health Services Single Specialty CurrentSince Sep 1, 2024 Accepting new patients

Locations

50 Post Office Rd
Ste 302
Waldorf, MD 20602
Phone (240) 353-2516

6 Post Office Rd
Ste 103
Waldorf, MD 20602
Phone (301) 213-1282

Organizations & group practices 6

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1013601608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 POST OFFICE RD STE 302",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023704",
            "telephone_number": "240-353-2516",
            "fax_number": "240-488-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 POST OFFICE RD STE 302",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023704",
            "telephone_number": "240-353-2516",
            "fax_number": "240-448-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "GLORIA",
        "middle_name": "ALICE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R219675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.