Kelly Lynne Carraher, CNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

259603 Issued in OH

Practice address

7700 Washington Village Dr
Suite 230
Dayton, OH 45459

Phone

(937) 438-3132

Fax

(937) 438-8707

NPI assigned

Jun 4, 2007

Last updated

Oct 3, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nephrology Associates of Dayton Inc

  • Nephrology Physician
  • Dayton, OH
  • NPI 1184698458
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1518169226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 WASHINGTON VILLAGE DRIVE",
            "address_2": "SUITE 220",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-438-0099",
            "fax_number": "937-438-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 WASHINGTON VILLAGE DR",
            "address_2": "SUITE 230",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-438-3132",
            "fax_number": "937-438-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRAHER",
        "first_name": "KELLY",
        "middle_name": "LYNNE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "259603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Joan Carpenter, CPNP-PC, AC
• Sharon Jean Carpenter, PA-C
• Shelby Carpenter
• Alisha Chanta Carr
• Ashari Nicole Carr
• Courtney Carrier
• Isabel Carrillo
• Anisha Carrington, LPN
• Charles Patrick Carroll, MD
• Joan Renee Carroll, LICDC

• Acute Care Nurse Practitioner in Dayton, OH
• Providers in Dayton, OH by specialty
• Acute Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.