Todd M Carpenter, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60241846 Issued in WA

Practice address

1268 Bridge St
Clarkston, WA 99403-2219

Phone

(509) 758-9524

Fax

(509) 758-8258

NPI assigned

Jul 12, 2011

Last updated

Jul 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, WA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Carpenter Health PLLCGroup PAC ID 6709241383, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tri-State Memorial Hospital Hospital, Clarkston, WA, CCN 501332

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22732/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/27214/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/HBCDAA
• Direct secure messaging: todd.carpenter.1@13591.direct.athenahealth.com
• Direct secure messaging: todd.carpenter.1@27214.direct.athenahealth.com

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.

• Carpenter Health PLLC

  • Family Nurse Practitioner
  • Clarkston, WA
  • NPI 1427776319

  ID

  Medicare reassignment Care Compare group NPD Authorized official
• Blue Mountain Family Health PLLC

  dba Blue Mountain Family Health

  • Family Medicine Physician
  • Clarkston, WA
  • NPI 1679649248
  NPD
• Ideal Option, PLLC

  • Clinic/Center
  • Kennewick, WA
  • NPI 1457788275
  NPD (past)
• Thrive Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Winchester, ID
  • NPI 1568067023
  NPD (past)

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

• Tri-State Memorial Hospital

  • Critical Access Hospital
  • Clarkston, WA
  • NPI 1760485221
  Care Compare affiliation
• Tri-State Memorial Hospital

  dba Tri State Medical Clinics

  • Family Medicine Physician
  • Clarkston, WA
  • NPI 1932405693

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1255629267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 BRIDGE ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032219",
            "telephone_number": "509-758-9524",
            "fax_number": "509-758-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 BRIDGE ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032219",
            "telephone_number": "509-758-9524",
            "fax_number": "509-758-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "TODD",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP-1086A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60241846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Cannard
• Ciara Noelle Carbone, DC
• Care Center Clarkston Inc. (Prestige Care & Rehabilitation - Clarkston)
• Lisa Carey
• Carpenter Health PLLC
• Jared L Cattron, DMD
• Carol Chandler, NP
• Charles C Dwyer DC PC
• Andrea L Charles, LICSW
• Chastains Inc (Owl Tri-State Pharmacy)

• Family Nurse Practitioner in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.

Verify at the official NPI Registry.