Individual provider Active NPI

Jeanette Millner Carpenter, MD

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1306917455
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101239053 Issued in VA
Practice address
7107 Jahnke Rd
Richmond, VA 23225-4017
Phone
(804) 320-4967
Fax
(804) 320-7130
NPI assigned
Nov 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2016-01649 NC
Family Medicine Physician 207Q00000X 076661 GA
Family Medicine Physician 207Q00000X ME129023 FL
Family Medicine Physician 207Q00000X 35.129613 OH
Family Medicine Physician 207Q00000X 268881 MA
Family Medicine Physician 207Q00000X MED-PHYS-LIC-59700 MT
Family Medicine Physician 207Q00000X C152401 CA
Family Medicine Physician 207Q00000X R8537 TX
Family Medicine Physician 207Q00000X DR.0059514 CO
Family Medicine Physician 207Q00000X 55143 AZ
Family Medicine Physician 207Q00000X MD2017-0961 NM
Family Medicine Physician 207Q00000X 11310A WY
Family Medicine Physician 207Q00000X M-13900 ID
Family Medicine Physician 207Q00000X MD-19484 HI
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 0101239053 VA Primary

Addresses

Primary practice location

7107 Jahnke Rd
Richmond, VA 23225-4017

Mailing address

5609 Backwater Ter
Richmond, VA 23234-7728
Phone (804) 275-3547

Other names 1

  • Miss Jeanette Denise Millner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX, AR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120906000824 VA Practitioner - Family Practice 2466600978 Reassigns benefits to 1 organization
I20230119001096 TX Practitioner - Family Practice 2466600978 Reassigns benefits to 1 organization
I20250122001970 AR Practitioner - Family Practice 2466600978 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
268881MAMDRegistered Nurse
55143AZMDFamily Medicine Physician
C152401CAMDFamily Medicine Physician
DR.0059514COMDFamily Medicine Physician
ME129023FLMDFamily Medicine Physician
076661GAMDFamily Medicine Physician
MD-19484HIMDFamily Medicine Physician
M-13900IDMDFamily Medicine Physician
MED-PHYS-LIC-59700MTMDFamily Medicine Physician
2016-01649NCMDFamily Medicine Physician
MD2017-0961NMMDFamily Medicine Physician
35.129613OHMDFamily Medicine Physician
11310AWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C Multi-Specialty CurrentSince Apr 17, 2020 Accepting new patients

Locations

300 Spring Building
Ste 900
Little Rock, AR 72201
Phone 80099761969238

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

275 Battery St
Ste 650
San Francisco, CA 94111
Phone 4155043838104

211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411

100 Shockoe Slip
Fl 2
Richmond, VA 23219
Phone (888) 364-2334

Interoperability endpoints

  • Direct secure messaging: jeanette.carpenter.1@30520.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1306917455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 BACKWATER TER",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232347728",
            "telephone_number": "804-275-3547",
            "fax_number": "804-320-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7107 JAHNKE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254017",
            "telephone_number": "804-320-4967",
            "fax_number": "804-320-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "JEANETTE",
        "middle_name": "MILLNER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-12",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2016-01649",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "076661",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME129023",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.129613",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "268881",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-59700",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C152401",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R8537",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0059514",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "55143",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2017-0961",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "11310A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-13900",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-19484",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101239053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETTE",
            "last_name": "MILLNER",
            "middle_name": "DENISE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.