Paula Denise Carter, OPERATOR

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

B087203 Issued in KS

Practice address

5701 E 17TH St N
Wichita, KS 67208-1703

Phone

(316) 807-6761

Fax

(316) 440-0807

NPI assigned

Apr 24, 2014

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

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.

• Platinum Care Homes LLC

  • Adult Care Home Facility
  • Wichita, KS
  • NPI 1104543339
  NPD

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1528488822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 E 17TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081703",
            "telephone_number": "316-807-6761",
            "fax_number": "316-440-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 E 17TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081703",
            "telephone_number": "316-807-6761",
            "fax_number": "316-440-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "PAULA",
        "middle_name": "DENISE",
        "credential": "OPERATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "B087203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia A Carson, ARNP
• Catherine Elizabeth Carter-Gibbons, LMSW
• Jayden Carter
• Laura Megan Carter, LPN
• Luke E Carter, MA, PSY.D.
• Rebecca Carter, ARNP
• Victoria Carter
• Olivia Marie Cartwright, PA-C
• Carver & Associates LLC
• Toby Carver

• Adult Care Home Facility in Wichita, KS
• Providers in Wichita, KS by specialty
• Adult Care Home Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.