Andrea F Carter

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133002529 Issued in VA

Practice address

405 Yorkshire St
Salem, VA 24153-7016

Phone

(540) 378-4517

NPI assigned

Aug 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Wall Therapeutic Solutions, LLC

  • Behavior Analyst
  • Salem, VA
  • NPI 1558087999
  NPD
• Wall Residences, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Floyd, VA
  • NPI 1063436723
  NPD (past)

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1144995259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 YORKSHIRE ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 YORKSHIRE ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537016",
            "telephone_number": "540-378-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ANDREA",
        "middle_name": "F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133002529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "acarter@wallresidences.com",
            "affiliation": "Y",
            "affiliationName": "Wall Residences, LLC",
            "address_1": "1281 Huckleberry Ridge Rd NE",
            "city": "Floyd",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240912037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acarter@wallresidences.com",
            "affiliation": "Y",
            "affiliationName": "Wall Residences, LLC",
            "address_1": "1281 Huckleberry Ridge Rd NE",
            "city": "Floyd",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240912037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Care Services of Virginia Inc
• Jon D Cargo, MD
• Carilion Healthcare Corporation
• Caroline Wallace DDS
• Lee Anne Carroll, RN
• Catherine Carter, AGACNP-BC
• Sandra L Carter, M. D.
• Anthony Peter Caruso, MPT
• Brad Case, PHARMD
• Cara Elizabeth Casey, SLP

• Behavior Analyst in Salem, VA
• Providers in Salem, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.