Active NPI
Christopher Keith Carpenter, ARNP
- Family Nurse Practitioner
- Shawnee, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71765
- Practice address
- 3214 Kethley Rd
Shawnee, OK 74804-9625 - Phone
- (405) 273-5801
- Fax
- (405) 878-3814
- NPI assigned
- Jul 6, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71765 | OK | Primary |
Addresses
Primary practice location
3214 Kethley Rd
Shawnee, OK 74804-9625
Mailing address
3315 Kethley Rd
Shawnee, OK 74804-9638
Phone (405) 273-5801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Oklahoma College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3200 Medical Park Dr
Shawnee, OK 74804-5014
Phone (405) 878-3460
3315 Kethley Rd
Shawnee, OK 74804-9638
Phone (405) 273-5801
608 NW 9TH St
Oklahoma City, OK 73102-1049
Hospital & facility affiliations
- Centric Home Health
- Loving Care in-Home Health Services, L.L.C.
- SSM Health at Home Home Health - Oklahoma
- SSM Health St Anthony Hospital - Shawnee
- Oklahoma Heart Hospital South, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71765 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saints Medical Group, LLC | Current | Accepting new patients | |
| Saints Medical Group, LLC | Current | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737
608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000
1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270
3214 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801
3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801
Interoperability endpoints
- ccarpenter164722@direct-ehr-ssmhc.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1437195922
-
- Durable Medical Equipment & Medical Supplies
- Edmond, OK
- NPI 1730907700
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Durant, OK
- NPI 1407202740
-
- Home Health Agency
- Noble, OK
- NPI 1528169497
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1841442274
-
- General Acute Care Hospital
- Shawnee, OK
- NPI 1134123193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1184911554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3315 KETHLEY RD",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748049638",
"telephone_number": "405-273-5801",
"fax_number": "405-878-3814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3214 KETHLEY RD",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748049625",
"telephone_number": "405-273-5801",
"fax_number": "405-878-3814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "CHRISTOPHER",
"middle_name": "KEITH",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-06",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "71765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.