Jerikia Sade Carter, MSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

905310 Issued in MS

Practice address

5440 Watkins Dr Ste B
Jackson, MS 39206-2034

Phone

(601) 364-2726

Fax

(601) 364-2731

NPI assigned

Jun 7, 2022

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

Credentials

Master of Science - Nursing

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23736/brand/1/csg/1/fhir/r4
• Direct secure messaging: jerikia.carter.1@23736.direct.athenahealth.com

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.

• McComb Children's Clinic, LTD

  • Pediatrics Physician
  • McComb, MS
  • NPI 1902888316
  NPD (past)
• Michelle J. Gibson, MD PLLC

  dba The Kidz Care Klinic

  • Clinic/Center
  • Jackson, MS
  • NPI 1639352784
  NPD (past)

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1588393276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396660103",
            "telephone_number": "601-248-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 WATKINS DR STE B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392062034",
            "telephone_number": "601-364-2726",
            "fax_number": "601-364-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JERIKIA",
        "middle_name": "SADE",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassi Carter, RN, FNP-C
• Cassidy Carter, MD
• Elliott E. Carter, MAT, ATC
• Felecia D Carter, AG-ACNP
• Hershel Lynn Carter, RPH
• Joe Jon Carter, DDS
• Joseph Andrew Carter
• Kathryn Link Carter, CRNA
• Keith Landon Carter, MD
• Kenneth Carter, M.D.

• Family Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.