Individual provider Active NPI

Kaleb Carter

  • Family Nurse Practitioner
  • Claymont, DE
National Provider Identifier
1538565726
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000904 Issued in DE
Practice address
2400 Philadelphia Pike Ste a
Claymont, DE 19703-2431
Phone
(302) 317-1531
NPI assigned
Nov 14, 2014
Last updated
Aug 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0000904 DE Primary
Family Nurse Practitioner 363LF0000X LG-0000904 PA

Addresses

Primary practice location

2400 Philadelphia Pike Ste a
Claymont, DE 19703-2431

Mailing address

17 Sawmill Rd
Glen Mills, PA 19342-2270
Phone (215) 264-5198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160113001081 PA Practitioner - Nurse Practitioner 2466754080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LG-0000904PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Claymont Walk in Care LLC CurrentSince Mar 24, 2025 Accepting new patients

Locations

2400 Philadelphia Pike
Claymont, DE 19703
Phone (302) 317-1531

2400 Philadelphia Pike
Ste A
Claymont, DE 19703
Phone (302) 317-1531

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1538565726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SAWMILL RD",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193422270",
            "telephone_number": "215-264-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PHILADELPHIA PIKE STE A",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032431",
            "telephone_number": "302-317-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KALEB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-14",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000904",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "LG-0000904",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claymont, DE

Sources for this page

Verify at the official NPI Registry.