Active NPI
Heather D Carter, LPN
- Licensed Practical Nurse
- Columbus, OH
National Provider Identifier
1144555830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN135888-IV
- Practice address
- 524 W. Broad St B
Southeast Inc Primary Care at Franklin Station
Columbus, OH 43215 - Phone
- (614) 224-4850
- NPI assigned
- Oct 13, 2009
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN135888-IV | OH | Primary |
Addresses
Primary practice location
524 W. Broad St B
Southeast Inc Primary Care at Franklin Station
Columbus, OH 43215
Mailing address
4711 Tatersall CT
Columbus, OH 43230-8324
Phone (614) 946-5497
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2988174 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN135888-IV | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457913600000",
"number": "1144555830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4711 TATERSALL CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432308324",
"telephone_number": "614-946-5497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 W. BROAD ST B",
"address_2": "SOUTHEAST INC PRIMARY CARE AT FRANKLIN STATION",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43215",
"telephone_number": "614-224-4850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "HEATHER",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-13",
"last_updated": "2016-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN135888-IV",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2988174",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.