Individual provider Active NPI

Josie Dantzler, CRNP

  • Multi-Specialty Clinic/Center
  • Baltimore, MD
National Provider Identifier
1992219885
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
R150037 Issued in MD
Practice address
5209 York Rd
Baltimore, MD 21212-4225
Phone
(410) 417-5297
Fax
(410) 510-1375
NPI assigned
Nov 30, 2017
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X R150037 MD Primary
Nurse Practitioner 363L00000X R150037 MD

Addresses

Primary practice location

5209 York Rd
Baltimore, MD 21212-4225

Mailing address

5209 York Rd
Baltimore, MD 21212-4225
Phone (410) 417-5297

Other practice location 1

2157 Streamway Ct
Gwynn Oak, MD 21207-6093
Phone (443) 801-2233

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidMD

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
I20190619000478 MD Practitioner - Nurse Practitioner 0749514180 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
A Platform to Healthcare Current Accepting new patients
Harvest of Hope Behavioral Health Multi-Specialty CurrentSince Aug 1, 2021 Accepting new patients
Harvest of Hope Behavioral Health CurrentSince Aug 1, 2021 Accepting new patients
Optimal Mental Health Group LLC PastSince May 22, 2022 Accepting new patients

Locations

5209 York Rd
Baltimore, MD 21212
Phone (410) 417-5297

720 Maiden Choice Ln
Catonsville, MD 21228
Phone (410) 744-7420

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1992219885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124225",
            "telephone_number": "410-417-5297",
            "fax_number": "410-510-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124225",
            "telephone_number": "410-417-5297",
            "fax_number": "410-510-1375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2157 Streamway Ct",
            "address_purpose": "LOCATION",
            "city": "Gwynn Oak",
            "state": "MD",
            "postal_code": "212076093",
            "country_code": "US",
            "telephone_number": "443-801-2233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANTZLER",
        "first_name": "JOSIE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MD",
            "license": "R150037",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R150037",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.