Individual provider Active NPI

Laura Joseph, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Middle River, MD
National Provider Identifier
1568903235
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R146362 Issued in MD
Practice address
609 Moody Rd
Middle River, MD 21220-3885
Phone
(443) 812-8422
NPI assigned
Mar 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R146362 MD Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X R146362 MD
Family Nurse Practitioner 363LF0000X R146362 MD

Addresses

Primary practice location

609 Moody Rd
Middle River, MD 21220-3885

Mailing address

609 Moody Rd
Middle River, MD 21220-3885
Phone (443) 812-8422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20170523002591 MD Practitioner - Nurse Practitioner 6901173939 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

609 Moody Rd
Middle River, MD 21220-3885
Phone (443) 812-8422

827 Linden Ave
Baltimore, MD 21201-4606
Phone (410) 225-8446

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R146362MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland General Clinical Practice Group, Inc. CurrentSince Jul 9, 2023 Accepting new patients
Assured Care Group CurrentSince Jan 26, 2025 Accepting new patients
Assured Care Group CurrentSince Jan 26, 2025 Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince Jul 9, 2023 Accepting new patients
Building Blocks Healthcare Network LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

3242 Esther Pl
Baltimore, MD 21224
Phone (410) 725-1435

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25556/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ljoseph307857@direct.umm.edu

Organizations & group practices 5

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": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1568903235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 MOODY RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212203885",
            "telephone_number": "443-812-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MOODY RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212203885",
            "telephone_number": "443-812-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "LAURA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R146362",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MD",
            "license": "R146362",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R146362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle River, MD

Sources for this page

Verify at the official NPI Registry.