Individual provider Active NPI

Carolnatha Enetha Carter, RCP, CLC, CPN, FNP-B

  • Family Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1396221651
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC004153 Issued in MD
Practice address
8930 Stanford Blvd
Columbia, MD 21045-5805
Phone
(410) 313-6359
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AC004153 MD Primary

Addresses

Primary practice location

8930 Stanford Blvd
Columbia, MD 21045-5805

Mailing address

8930 Stanford Blvd
Columbia, MD 21045-5805
Phone (410) 313-6359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021000030 MD Practitioner - Nurse Practitioner 0840522306 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jfy Health Services LLC Family CurrentSince May 28, 2025 Accepting new patients
Tri-County Rural Health Services Current Accepting new patients
Infinite Medical PC CurrentSince Oct 19, 2024 Accepting new patients
Yahweh Health, P.C. Current Accepting new patients

Locations

35 Milkshake Ln
Annapolis, MD 21403
Phone (410) 269-5100

1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474

460 Main St
Ste 108
Stevensville, MD 21666
Phone (443) 449-3394

250 Skillman St
Ste 202
Brooklyn, NY 11205

Interoperability endpoints

  • Direct secure messaging: jfyhealthservices.carolnathacarter@162539.advancedmd-direct.com

Organizations & group practices 4

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1396221651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 STANFORD BLVD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455805",
            "telephone_number": "410-313-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 STANFORD BLVD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455805",
            "telephone_number": "410-313-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CAROLNATHA",
        "middle_name": "ENETHA",
        "credential": "RCP, CLC, CPN, FNP-B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC004153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.