The Practitioner Provider LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

THE PRACTITIONER PROVIDER LLC

Practice address

424 E 30TH St
Baltimore, MD 21218-3934

Phone

(443) 609-4661

Fax

(206) 752-6808

NPI assigned

Sep 29, 2025

Organization subpart

No

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

Authorized official

Name

Chloe J Parker, CRNPNPI 1508251240

Title

Owner

Phone

(443) 609-4661

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chloe Parker, NP

  • Nurse Practitioner
  • Baltimore, MD
  • NPI 1508251240
  NPD Authorized official

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1083587562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 E 30TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183934",
            "telephone_number": "443-609-4661",
            "fax_number": "206-752-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 E 30TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183934",
            "telephone_number": "443-609-4661",
            "fax_number": "206-752-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PRACTITIONER PROVIDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "CHLOE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-609-4661",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.