Mariellen Carter

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

9115 SW Oleson Rd
Portland, OR 97223-6875

Phone

(971) 236-0915

NPI assigned

Aug 3, 2021

Last updated

Aug 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1255005260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32691 STONE RD",
            "city": "WARREN",
            "state": "OR",
            "postal_code": "970539713",
            "telephone_number": "503-428-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 SW OLESON RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236875",
            "telephone_number": "971-236-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "MARIELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Carter
• Lucille Carter
• Madison Carter
• Marco Carter, QMHA
• Marie Antoinette Carter
• Mecca Carter
• Melissa Grace Carter
• Natasha Fewkes Carter, M.D.
• Nicole Carter, MN, CNS, CMSRN
• Rosalind Carter

• In Home Supportive Care Agency in Portland, OR
• Providers in Portland, OR by specialty
• In Home Supportive Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.