Active NPI
Jeanette Millner Carpenter, MD
- Family Medicine Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101239053
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TX, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268881 | MA | MD | Registered Nurse |
| 55143 | AZ | MD | Family Medicine Physician |
| C152401 | CA | MD | Family Medicine Physician |
| DR.0059514 | CO | MD | Family Medicine Physician |
| ME129023 | FL | MD | Family Medicine Physician |
| 076661 | GA | MD | Family Medicine Physician |
| MD-19484 | HI | MD | Family Medicine Physician |
| M-13900 | ID | MD | Family Medicine Physician |
| MED-PHYS-LIC-59700 | MT | MD | Family Medicine Physician |
| 2016-01649 | NC | MD | Family Medicine Physician |
| MD2017-0961 | NM | MD | Family Medicine Physician |
| 35.129613 | OH | MD | Family Medicine Physician |
| 11310A | WY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor on Demand Professionals P C | Multi-Specialty | Current | 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
- 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.
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1174931448
AR, Multi-Specialty, TX, VA
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.