PEDIATRIC HEALTH CONNECT LLC
NPI 1285510685
Nurse Practitioner - Pediatrics in Crofton, MD
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 holds a CLIA Waiver certificate valid through October 20, 2027 and lists Chauntelle Ellis, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 21D2332513
Pediatric Health Connect LLC · Crofton, MDFrequently 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.
Does Pediatric Health Connect LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2332513) is associated with this NPI, valid through October 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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 12 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.
# Pediatric Health Connect Llc · NPI 1285510685
Pediatrics organization in Crofton, Maryland. Organization record, active in the CMS NPPES registry since August 12, 2025.
## Identity
- **NPI:** 1285510685 (Entity type: Organization)
- **Enumerated:** August 12, 2025
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **Organization subpart:** No
- **Authorized official:** Chauntelle Ellis, NURSE PRACTITIONER
## Practice location
- **Address:** 1302 CRONSON BLVD STE J, Crofton, MD 21114-2064
- **Phone:** (301) 467-5033
## Record status
- **NPPES last updated:** August 12, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285510685) · Data from the CMS NPPES public registry.