Brenda L Carter, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN090049 Issued in OH

Practice address

2701 20TH St SW
Canton, OH 44706-2629

Phone

(330) 413-3603

NPI assigned

Dec 10, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1053656512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 20TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447062629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 20TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447062629",
            "telephone_number": "330-413-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "BRENDA",
        "middle_name": "L",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN090049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indira M Carroll, MS, NNP
• Kaylee Hannah Carroll, L.S.W
• Kelli Lynne Carroll, QMHS
• Ralph Wayne Carroll, RPH
• Theresa Lynn Carroll, PCC-S
• Harold Benjamin Carter
• Imani Carter
• Justin Carter
• Lamonda Carter
• Mark Adrian Carter

• Licensed Practical Nurse in Canton, OH
• Providers in Canton, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.