Active NPI
Little Oak Pediatrics LLC
- Pediatric Nurse Practitioner
- Nottingham, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emily A. Burr, CRNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051520300 | Medicaid | MD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2319182 | Little Oak Pediatrics, LLC | Certificate of waiver | Feb 24, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & 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.