Kwanza Carter

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R199453 Issued in MD

Practice address

2629 Riva Rd
Suite 112
Annapolis, MD 21401-7428

Phone

(410) 266-1000

Fax

(410) 573-4008

NPI assigned

Mar 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community of Hope, IncGroup PAC ID 5092612762, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwanza.carter@coh.eclinicaldirectplus.com

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.

• Community of Hope, Inc.

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
  • NPI 1649601154
  Medicare reassignment Care Compare group NPD
• Lifebridge Community Physicians, Inc

  • Cardiovascular Disease Physician
  • Timonium, MD
  • NPI 1174815807
  Medicare reassignment NPD
• Lifebridge Community Physicians Inc

  • Cardiovascular Disease Physician
  • Lutherville, MD
  • NPI 1740086149
  NPD
• Lifebridge Community Physicians, Inc

  • Internal Medicine Physician
  • Owings Mills, MD
  • NPI 1073940912
  NPD
• Community of Hope Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1730681420
  NPD
• Community of Hope Inc.

  • Community/Retail Pharmacy
  • Washington, DC
  • NPI 1801548805
  NPD

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1043672918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 RIVA RD",
            "address_2": "SUITE 112",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017428",
            "telephone_number": "410-266-1000",
            "fax_number": "410-573-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 RIVA RD",
            "address_2": "SUITE 112",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017428",
            "telephone_number": "410-266-1000",
            "fax_number": "410-573-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KWANZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R199453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Carroll, CRNP
• Carly Michelle Carruba, M.S., CCC-SLP
• Mackenzie Carruthers
• Leigha Marie Carryl, MD
• Melanie Elaine Carson, LMSW
• Maya R Carter, MD
• Sheree Danielle Carter, MD
• Aislinn Carty
• Deborah A Caruso, DDS
• Rachael Alison Caruso, M.S CCC-SLP

• Family Nurse Practitioner in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.

Verify at the official NPI Registry.