Individual provider Active NPI

Amina Ann Carter, PA-C

  • Physician Assistant
  • Bloomfield, CT
National Provider Identifier
1326401811
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3517 Issued in CT
Practice address
701 Cottage Grove Rd Ste C110
Bloomfield, CT 06002-3086
Phone
(860) 520-5812
Fax
(860) 522-9913
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3517 CT Primary
Physician Assistant 363A00000X PA01590 RI

Addresses

Primary practice location

701 Cottage Grove Rd Ste C110
Bloomfield, CT 06002-3086

Mailing address

345 Whitney Avenue
New Haven, CT 06511-2348
Phone (203) 752-2856

Other practice location 1

1229 Albany Avenue
Hartford, CT 06112-2132
Phone (860) 728-0203

Other practice location 2

175 Broad St
Providence, RI 02903-4026
Phone (401) 421-9620

Other practice location 3

345 Whitney Ave
New Haven, CT 06511-2348
Phone (203) 503-0450 ext. 75095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 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

Enrollment IDStateProvider typePAC IDDetails
I20161003000402 CT Practitioner - Physician Assistant 3476840612 Reassigns benefits to 1 organization
I20240409002401 RI Practitioner - Physician Assistant 3476840612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Planned Parenthood of Southern New England IncGroup PAC ID 3173436730, 41 clinicians

Practice addresses (Care Compare)

1229 Albany Ave
Hartford, CT 06112-2132
Phone (860) 728-0203

26 Womens Way
Meriden, CT 06451-3237
Phone (203) 238-0542

345 Whitney Ave
New Haven, CT 06511-2348
Phone (203) 503-0450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3517CTMDGeneral Practice Dentistry

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": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1326401811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 WHITNEY AVENUE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112348",
            "telephone_number": "203-752-2856",
            "fax_number": "203-752-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD STE C110",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023086",
            "telephone_number": "860-520-5812",
            "fax_number": "860-522-9913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 Albany Avenue",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061122132",
            "country_code": "US",
            "telephone_number": "860-728-0203",
            "fax_number": "860-728-0234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Broad St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034026",
            "country_code": "US",
            "telephone_number": "401-421-9620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 Whitney Ave",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065112348",
            "country_code": "US",
            "telephone_number": "203-503-0450 x75095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "AMINA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "3517",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.