NPIMap

Individual provider Active NPI

Shenika Mitchell Carter, FNP

  • Family Nurse Practitioner
  • Barnwell, SC
National Provider Identifier
1245800887
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25053 Issued in SC
Practice address
154 Wren St
Barnwell, SC 29812-1527
Phone
(803) 259-3399
NPI assigned
Jun 27, 2021
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25053 SC Primary
Family Nurse Practitioner 363LF0000X 64380 NM

Addresses

Primary practice location

154 Wren St
Barnwell, SC 29812-1527

Mailing address

20 Chester St
Williston, SC 29853-6640
Phone (803) 259-3399

Other practice location 1

3917 West Rd Ste A
Los Alamos, NM 87544-2292
Phone (505) 661-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221202002429 SC Practitioner - Nurse Practitioner 8527457969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

154 Wren St
Barnwell, SC 29812-1527
Phone 8882223831102

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
64380NMMDFamily Nurse Practitioner
25053SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Northern New Mexico CurrentSince Oct 1, 2021 Accepting new patients
Infinity Medical Solutions LLC Family CurrentSince Nov 19, 2022 Accepting new patients

Locations

3917 West Rd
Ste A
Los Alamos, NM 87544
Phone (505) 661-8900

3917 West Rd
Ste D
Los Alamos, NM 87544
Phone (505) 661-8900

154 Wren St
Barnwell, SC 29812
Phone (803) 259-3399

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAGADA
  • FHIR API: https://fhir4.healow.com/fhir/r4/CBJADD/Endpoint/CBJADD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1245800887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CHESTER ST",
            "city": "WILLISTON",
            "state": "SC",
            "postal_code": "298536640",
            "telephone_number": "803-259-3399",
            "fax_number": "803-259-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 WREN ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121527",
            "telephone_number": "803-259-3399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3917 West Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Los Alamos",
            "state": "NM",
            "postal_code": "875442292",
            "country_code": "US",
            "telephone_number": "505-661-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "SHENIKA",
        "middle_name": "MITCHELL",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-27",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25053",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "64380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnwell, SC

Sources for this page

Verify at the official NPI Registry.