Active NPI
Terrell Cheatham Carpenter, FNP
- Family Nurse Practitioner
- Memphis, TN
National Provider Identifier
1043364201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN6284
- Practice address
- 1251 Wesley Drive
Suite 104
Memphis, TN 38116 - Phone
- (901) 348-6426
- Fax
- (901) 207-5178
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN6284 | TN | Primary |
Addresses
Primary practice location
1251 Wesley Drive
Suite 104
Memphis, TN 38116
Mailing address
1251 Wesley Dr
Suite 104
Memphis, TN 38116-6442
Phone (901) 348-6426
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q015961 | Medicaid | TN |
Other names 1
- Terrell C Carpenter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Tennessee, HSC, College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1251 Wesley Dr
Suite 104
Memphis, TN 38116-6442
Phone 90134864264
Hospital & facility affiliations
- Methodist Hospitals of Memphis
- Methodist Healthcare - Olive Branch Hospital
- Baptist Memorial Hospital
- Baptist Memorial Hospital Desoto
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN6284 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carpenter Primary Healthcare, PLLC | Family | Current | Accepting new patients |
Locations
1251 Wesley Dr
Ste 104
Memphis, TN 38116
Phone (870) 733-1177
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1770971533
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
- General Acute Care Hospital
- Olive Branch, MS
- NPI 1912341439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1043364201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 WESLEY DR",
"address_2": "SUITE 104",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381166442",
"telephone_number": "901-348-6426",
"fax_number": "901-207-5178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 WESLEY DRIVE",
"address_2": "SUITE 104",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38116",
"telephone_number": "901-348-6426",
"fax_number": "901-207-5178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEATHAM CARPENTER",
"first_name": "TERRELL",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN6284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q015961",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERRELL",
"last_name": "CARPENTER",
"middle_name": "C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.