PEDIATRIC HEALTH CONNECT LLC
NPI 1285510685
Nurse Practitioner - Pediatrics in Crofton, MD

Active since August 12, 2025
1302 CRONSON BLVD STE J, CROFTON, MD 21114(301) 467-5033 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Pediatric Health Connect Llc NPPES

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

PEDIATRIC HEALTH CONNECT LLC (NPI 1285510685) is a healthcare organization registered as a pediatrics in Crofton, Maryland and active in the NPI registry since August 2025. The organization lists Chauntelle Ellis, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1285510685
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NamePEDIATRIC HEALTH CONNECT LLC
Location Address1302 CRONSON BLVD STE JCrofton, MD 21114-2064
Mailing Address2421 Vineyard LnCrofton, MD 21114-1138 · (301) 467-5033
Organization SubpartNo
Authorized OfficialChauntelle EllisNurse Practitioner · (301) 467-5033
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1285510685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1302 CRONSON BLVD STE J, Crofton, MD 21114

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 Pediatric Health Connect LLC's NPI number?

The NPI number for Pediatric Health Connect LLC is 1285510685. It was assigned to this organization in the NPPES registry on August 12, 2025.

Where is Pediatric Health Connect LLC located?

Pediatric Health Connect LLC is located at 1302 Cronson Blvd Ste J, Crofton, MD 21114. The listed phone number is (301) 467-5033.

What is Pediatric Health Connect LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Pediatric Health Connect LLC was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.