Active NPI
Jamie B Carter, OWNER
- Driver
- Mount Vernon, NY
National Provider Identifier
1083373393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 78 W Kingsbridge Rd
Mount Vernon, NY 10550-4800 - Phone
- (917) 794-5674
- NPI assigned
- Dec 14, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | NY | Primary |
Addresses
Primary practice location
78 W Kingsbridge Rd
Mount Vernon, NY 10550-4800
Mailing address
78 W Kingsbridge Rd
Mount Vernon, NY 10550-4800
Phone (917) 794-5674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1083373393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 W KINGSBRIDGE RD",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105504800",
"telephone_number": "917-794-5674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 W KINGSBRIDGE RD",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105504800",
"telephone_number": "917-794-5674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "JAMIE",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "OWNER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-14",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, NY
- Caring House Calls Ny Family Health Nurse Practitioner PLLC
- Caring House Calls Ny Family Health Nurse Practitioner PLLC
- Caring Minds Advanced Practice Services LLC
- Camille Elizabeth Carrasco, LPN
- Dorothy Carter, CASAC
- Melanie Elizabeth Carter
- Vinicius Dalessandro Carvalho
- Akilah Nahriann Cassells-Thomas
- Helena Castello, LPN
- Catholic Managed LTC Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.