Individual provider Active NPI

Tosha Michelle Luchtefeld, CFNP

  • Family Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1053432179
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R172554 Issued in MD
Practice address
15204 Omega Dr Ste 200
Rockville, MD 20850-4814
Phone
(301) 330-7002
Fax
(301) 330-7006
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 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 R172554 MD Primary
Family Nurse Practitioner 363LF0000X 0024165220 VA

Addresses

Primary practice location

15204 Omega Dr Ste 200
Rockville, MD 20850-4814

Mailing address

15204 Omega Dr Ste 200
Rockville, MD 20850-4814
Phone (301) 330-7002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20070626000611 DC Practitioner - Nurse Practitioner 8729187125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockville Gynecology LLCGroup PAC ID 0648406652, 7 clinicians

Practice addresses (Care Compare)

15204 Omega Dr
Suite 200
Rockville, MD 20850-4814
Phone (301) 330-7007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R172554MDMDFamily Nurse Practitioner
0024165220VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rockville Gynecology LLC CurrentSince May 21, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

15204 Omega Dr
Ste 200
Rockville, MD 20850
Phone (301) 330-7002

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCAABA/Endpoint/JCAABA

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1053432179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15204 OMEGA DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504814",
            "telephone_number": "301-330-7002",
            "fax_number": "301-330-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15204 OMEGA DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504814",
            "telephone_number": "301-330-7002",
            "fax_number": "301-330-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCHTEFELD",
        "first_name": "TOSHA",
        "middle_name": "MICHELLE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R172554",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024165220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.