Deborah Carpenter, RN
Individual provider Active NPI Registered Nurse · Belmont, MI
NPI 1497063143 · NPPES record last updated Sep 15, 2010
Key facts
- NPI
- 1497063143
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704205210 (MI)
- Practice address
- 6290 Jupiter Ave NE
Suite a
Belmont, MI 49306-8884 - Phone
- (616) 301-2500
- Fax
- (616) 301-2501
- NPI assigned
- Sep 15, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704205210 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Eye Care Inc | Past | Accepting new patients | |
| Jupiter Family Medicine PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704205210 | MI | Yes |
Addresses
Primary practice location
6290 Jupiter Ave NE
Suite a
Belmont, MI 49306-8884
Mailing address
6290 Jupiter Ave NE
Suite a
Belmont, MI 49306-8884
Phone (616) 301-2500
Other providers in Belmont, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.