Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THE PRACTITIONER PROVIDER LLC
NPI 1083587562
Nurse Practitioner in Baltimore, MD

Q: What is The Practitioner Provider LLC's NPI number?

The NPI number for The Practitioner Provider LLC is 1083587562. It was assigned to this organization in the NPPES registry on September 29, 2025.

Q: What is The Practitioner Provider LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 29, 2025

424 E 30TH ST, BALTIMORE, MD 21218(443) 609-4661(206) 752-6808 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Mar 9, 2026 (2 updates tracked since 2026).

On this page

About The Practitioner Provider Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE PRACTITIONER PROVIDER LLC (NPI 1083587562) is a healthcare organization registered as a nurse practitioner in Baltimore, Maryland and active in the NPI registry since September 2025. The organization lists Chloe J Parker, Owner, as its authorized official.

NPPES Registry Identity

NPI1083587562

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameTHE PRACTITIONER PROVIDER LLC

Location Address424 E 30TH STBaltimore, MD 21218-3934

Mailing Address424 E 30th StBaltimore, MD 21218-3934 · (443) 609-4661 · Fax (206) 752-6808

Phone(443) 609-4661

Fax(206) 752-6808

Organization SubpartNo

Authorized OfficialChloe J ParkerOwner · (443) 609-4661

Enumeration DateSeptember 29, 2025

Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1083587562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

424 E 30TH ST, Baltimore, MD 21218

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOUSE OF AFFIRMATIONS

Clinic/Center (Rehabilitation, Substance Use Disorder)

424 E 30TH ST
BALTIMORE, MD 21218

Baltimore City (866) 296-6211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Practitioner Provider LLC's NPI number?

The NPI number for The Practitioner Provider LLC is 1083587562. It was assigned to this organization in the NPPES registry on September 29, 2025.

Where is The Practitioner Provider LLC located?

The Practitioner Provider LLC is located at 424 E 30th St, Baltimore, MD 21218. The listed phone number is (443) 609-4661.

What is The Practitioner Provider LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for The Practitioner Provider LLC was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.