Stephanie Allen Carpenter, RD

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

L004222 Issued in NC

Practice address

730 Highland Oaks Dr Ste 201
Winston Salem, NC 27103-7108

Phone

(336) 768-2425

Fax

(336) 768-4915

NPI assigned

Sep 25, 2023

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

Enrolled in NC

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

W Scott Moore Et Al PTRGroup PAC ID 2365426483, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• W Scott Moore Et Al PTR

  dba Nephrology Associates, PLLC

  • Nephrology Physician
  • Winston Salem, NC
  • NPI 1275580854
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1306625983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 CORAVAN CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064785",
            "telephone_number": "662-809-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 HIGHLAND OAKS DR STE 201",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037108",
            "telephone_number": "336-768-2425",
            "fax_number": "336-768-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "STEPHANIE",
        "middle_name": "ALLEN",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NC",
            "license": "L004222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolinas Pain Institute, PA
• Carolinas Pain Institute, PA
• Suzanne N Caroon, LCSW
• Jimmy Wayne Carpenter, C.PED
• Sahaja Mahathi Carpenter, MD
• Anne Kizer Carper, LCMHC
• David Ruddle Carr, M.D.
• Elizabeth Paige Carr
• Tanner Samuel Carr, DPM
• Vicki Deanne Carr, LPC

• Renal Nutrition Registered Dietitian in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Renal Nutrition Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.