Organization Active NPI

Little Oak Pediatrics LLC

  • Pediatric Nurse Practitioner
  • Nottingham, MD
National Provider Identifier
1437971413
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
Legal business name
LITTLE OAK PEDIATRICS LLC
Practice address
7652 Belair Rd Ste a
Nottingham, MD 21236-4067
Phone
(443) 524-2713
Fax
(443) 399-1282
NPI assigned
Oct 30, 2024
Last updated
Dec 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Emily A. Burr, CRNPNPI 1780986091
Title
Nurse Practitioner/Owner
Phone
(850) 384-1353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X Primary

Addresses

Primary practice location

7652 Belair Rd Ste a
Nottingham, MD 21236-4067

Mailing address

7652 Belair Rd Ste a
Nottingham, MD 21236-4067
Phone (443) 524-2712

Other practice location 1

5601 Loch Raven Blvd Ste 200
Baltimore, MD 21239-2947
Phone (410) 464-5700

Other identifiers 1

IdentifierTypeStateIssuer
051520300MedicaidMD

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2319182Little Oak Pediatrics, LLC7652 Belair Rd #a, Nottingham, MD 21236Certificate of waiverFeb 24, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1437971413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7652 BELAIR RD STE A",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364067",
            "telephone_number": "443-524-2712",
            "fax_number": "443-399-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7652 BELAIR RD STE A",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364067",
            "telephone_number": "443-524-2713",
            "fax_number": "443-399-1282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5601 Loch Raven Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212392947",
            "country_code": "US",
            "telephone_number": "410-464-5700",
            "fax_number": "410-464-5701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LITTLE OAK PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "BURR",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "850-384-1353",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051520300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.