Individual provider Active NPI

Jennifer Leigh Carter, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1154017408
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
82035 Issued in KS
Practice address
1216 Patrick St
Kissimmee, FL 34741-5534
Phone
(321) 223-6215
NPI assigned
Apr 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 121657 KS
Nurse Practitioner 363L00000X 11028470 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 82035 KS Primary

Addresses

Primary practice location

1216 Patrick St
Kissimmee, FL 34741-5534

Mailing address

500 State Hospital Dr
Osawatomie, KS 66064-1813
Phone (785) 215-4530

Other practice location 1

500 state hospital drive
Osawatomie, KS 66064
Phone (785) 215-4530

Other names 1

  • Jennifer Leigh Walters Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250519001000 KS Practitioner - Nurse Practitioner 2769900216 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121657KSMDPsychiatric/Mental Health Registered Nurse
11028470FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osawatomie State Hospital CurrentSince Mar 9, 2025 Accepting new patients
State of Kansas Past Accepting new patients

Locations

500 State Hospital Dr
Osawatomie, KS 66064
Phone (913) 755-7000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1154017408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 STATE HOSPITAL DR",
            "city": "OSAWATOMIE",
            "state": "KS",
            "postal_code": "660641813",
            "telephone_number": "785-215-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 PATRICK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415534",
            "telephone_number": "321-223-6215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 state hospital drive",
            "address_purpose": "LOCATION",
            "city": "Osawatomie",
            "state": "KS",
            "postal_code": "66064",
            "country_code": "US",
            "telephone_number": "785-215-4530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "KS",
            "license": "121657",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11028470",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "82035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WALTERS",
            "middle_name": "LEIGH",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.