Individual provider Active NPI

Chauntelle Naomi Hayes Ellis, CPNP

  • Pediatric Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1154950301
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R218545 Issued in MD
Practice address
10801 Lockwood Dr Ste 230
Silver Spring, MD 20901-1559
Phone
(301) 593-5566
NPI assigned
Apr 8, 2020
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R218545 MD
Pediatric Registered Nurse 163WP0200X RN1040262 DC
Pediatric Nurse Practitioner 363LP0200X R218545 MD Primary

Addresses

Primary practice location

10801 Lockwood Dr Ste 230
Silver Spring, MD 20901-1559

Mailing address

12211 Plum Orchard Dr Ste 220
Silver Spring, MD 20904-7919
Phone (301) 754-3060

Other practice location 1

9131 Piscataway Rd Ste 700
Clinton, MD 20735-2508
Phone (301) 599-0900

Other practice location 2

4601 N Park Ave Apt 8C
Chevy Chase, MD 20815-4574
Phone (301) 656-2745

Other practice location 3

13900 Laurel Lakes Ave Ste 240
Laurel, MD 20707-5023
Phone (301) 498-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R218545MDMDRegistered Nurse
RN1040262DCMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Health Connect LLC Pediatrics CurrentSince Aug 17, 2025 Accepting new patients
Children's Pediatricians & Associates, LLC CurrentSince Feb 9, 2025 Accepting new patients
Children's Pediatricians & Associates, LLC PastSince Apr 1, 2020 Accepting new patients

Locations

1302 Cronson Blvd
Ste J
Crofton, MD 21114
Phone (301) 467-5033

7701 Greenbelt Rd
Ste 510
Greenbelt, MD 20770
Phone (301) 220-1200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1154950301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12211 PLUM ORCHARD DR STE 220",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047919",
            "telephone_number": "301-754-3060",
            "fax_number": "301-681-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR STE 230",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011559",
            "telephone_number": "301-593-5566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9131 Piscataway Rd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "207352508",
            "country_code": "US",
            "telephone_number": "301-599-0900",
            "fax_number": "301-599-7828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4601 N Park Ave Apt 8C",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208154574",
            "country_code": "US",
            "telephone_number": "301-656-2745",
            "fax_number": "301-718-7681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13900 Laurel Lakes Ave Ste 240",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207075023",
            "country_code": "US",
            "telephone_number": "301-498-1900",
            "fax_number": "301-497-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CHAUNTELLE",
        "middle_name": "NAOMI HAYES",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R218545",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "DC",
            "license": "RN1040262",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R218545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.