Pediatric Health Connect LLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

PEDIATRIC HEALTH CONNECT LLC

Practice address

1302 Cronson Blvd Ste J
Crofton, MD 21114-2064

Phone

(301) 467-5033

NPI assigned

Aug 12, 2025

Organization subpart

No

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

Authorized official

Name

Chauntelle Ellis, MSN, CRNP, CPNP-PCNPI 1154950301

Title

Nurse Practitioner

Phone

(301) 467-5033

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Chauntelle Naomi Hayes Ellis, CPNP

  • Pediatric Nurse Practitioner
  • Silver Spring, MD
  • NPI 1154950301

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1285510685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 VINEYARD LN",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141138",
            "telephone_number": "301-467-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 CRONSON BLVD STE J",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142064",
            "telephone_number": "301-467-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HEALTH CONNECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "CHAUNTELLE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "301-467-5033",
        "authorized_official_credential": "MSN, CRNP, CPNP-PC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Berez MD LLC
• Kristen Elizabeth Paul, LGMFT, LGPC
• Meagan Paulk
• Kaylin Pearson
• Rene' P. Peart, MA, LCPC
• Justine Peggins, BCBA
• Sharon A. Penland, LCSW-C
• Penny S. Todd
• Julia Penwell Hughes, PSY.D
• Joshua Carroll Peyton, BEHAVIOR TECHNICIAN

• Pediatric Nurse Practitioner in Crofton, MD
• Providers in Crofton, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.