Mindy Marie Carpenter

Primary specialty

ContractorTaxonomy code 171W00000X

License

1204789 Issued in OH

Practice address

1223 Ryan Rd
Springfield, OH 45503-6661

Phone

(937) 536-9436

NPI assigned

Sep 11, 2020

Last updated

Aug 16, 2026By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1588279913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 RYAN RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455036661",
            "telephone_number": "937-536-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 RYAN RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455036661",
            "telephone_number": "937-536-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "MINDY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OH",
            "license": "1204789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mindycarpenter10378@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "healthcare",
            "address_1": "6703 London Rd",
            "city": "South Charleston",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453689632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barbara L Carlson
• Lisa Yvonne Carnes, RN
• Timothy James Carpenito, LPN
• Barbara Ann Carpenter
• Katelyn Marie Carpenter
• Shawn Carpenter Jr.
• Shawn M Carpenter Sr.
• Anna Carrera, C.2607765
• Janna Elaine Carrier, LPC
• Margaret Carroll, CRNA

• Contractor in Springfield, OH
• Providers in Springfield, OH by specialty
• Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; 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.