Individual provider Active NPI

Joseph Baxter Haymore III, MS, ACNP

  • Acute Care Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1114907235
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R148158 Issued in MD
Practice address
2101 Medical Park Dr
Suite 305
Silver Spring, MD 20902-4053
Phone
(301) 754-0833
Fax
(301) 754-0388
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R148158 MD Primary

Addresses

Primary practice location

2101 Medical Park Dr
Suite 305
Silver Spring, MD 20902-4053

Mailing address

5203 Gretchen St
Kensington, MD 20895-1125
Phone (301) 946-2885

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)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Critical Care Services,L.L.C. PastSince Mar 1, 2013 Accepting new patients
Emergency Medicine Associates P.a., P.C. Past Accepting new patients
One Skincare, LLC Past Accepting new patients

Organizations & group practices 3

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114907235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 GRETCHEN ST",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951125",
            "telephone_number": "301-946-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 MEDICAL PARK DR",
            "address_2": "SUITE 305",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024053",
            "telephone_number": "301-754-0833",
            "fax_number": "301-754-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYMORE",
        "first_name": "JOSEPH",
        "middle_name": "BAXTER",
        "name_suffix": "III",
        "credential": "MS, ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R148158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.