Active NPI
Josie Dantzler, CRNP
- Multi-Specialty Clinic/Center
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- R150037
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Platform to Healthcare | Current | Accepting new patients | |
| Harvest of Hope Behavioral Health | Multi-Specialty | Current | Accepting new patients |
| Harvest of Hope Behavioral Health | Current | Accepting new patients | |
| Optimal Mental Health Group LLC | Past | 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.
-
- Community Health Clinic/Center
- Catonsville, MD
- NPI 1124688833
Multi-Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
- NPI 1043778160
-
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
- NPI 1922623891
-
- Psychiatric/Mental Health Nurse Practitioner
- Edgewood, MD
- NPI 1972238434
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Catonsville, MD
- NPI 1316529084
-
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
- NPI 1851038632
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.