Individual provider Active NPI

Joy Peterson, FNP-C

  • Family Nurse Practitioner
  • Gambrills, MD
National Provider Identifier
1922569482
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R199981 Issued in MD
Practice address
1438 Defense Hwy Ste 201
Gambrills, MD 21054-2021
Phone
(410) 697-1605
Fax
(410) 697-1693
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R199981 MD Primary

Addresses

Primary practice location

1438 Defense Hwy Ste 201
Gambrills, MD 21054-2021

Mailing address

1438 Defense Hwy Ste 201
Gambrills, MD 21054-2021
Phone (410) 697-1605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20201208003252 DC Practitioner - Nurse Practitioner 2860725694 Reassigns benefits to 2 organizations
I20220330000882 MD Practitioner - Nurse Practitioner 2860725694 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Mar 6, 2022 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Mar 6, 2022 Accepting new patients
Medstar Health Weight Management, LLC CurrentSince Jul 1, 2024 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Sep 1, 2023 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients

Locations

2002 Medical Pkwy
Ste 670
Annapolis, MD 21401
Phone (410) 481-1150

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

6700 Race Track Rd
Bowie, MD 20715
Phone (301) 383-2581

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

2191 Defense Hwy
Ste 201
Crofton, MD 21114
Phone (410) 451-9091

499 Idlewild Ave
Ste 104
Easton, MD 21601
Phone (410) 697-3832

1099 Winterson Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 929-1785

12501 Prosperity Dr
Ste 160
Silver Spring, MD 20904
Phone (240) 624-2330

Interoperability endpoints

  • Direct secure messaging: jpeterson135583@direct.aahs.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1922569482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 DEFENSE HWY STE 201",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210542021",
            "telephone_number": "410-697-1605",
            "fax_number": "410-697-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 DEFENSE HWY STE 201",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210542021",
            "telephone_number": "410-697-1605",
            "fax_number": "410-697-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JOY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R199981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gambrills, MD

Sources for this page

Verify at the official NPI Registry.