Karen Marie Bachman-Carter, MPH, LD/RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD-0834 Issued in NM

Practice address

US Hwy 491 North
Shiprock, NM 87420

Phone

(505) 368-7430

NPI assigned

May 22, 2007

Last updated

Jun 8, 2021By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Ketchikan Indian Corporation

  dba KIC Tribal Health Clinic

  • Primary Care Clinic/Center
  • Ketchikan, AK
  • NPI 1821120486
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1609085828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874200160",
            "telephone_number": "505-368-6001",
            "fax_number": "505-368-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US HWY 491 NORTH",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "87420",
            "telephone_number": "505-368-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHMAN-CARTER",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "credential": "MPH, LD/RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "LD-0834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59831839",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerrianne Ashley, RD
• Danielle R Atencio-Archibeque, COTA/L
• Joanna N Atencio, RT(R)(M)
• Asha E Atwell, DO
• George Clifford Baacke II, MD
• Joshua Bacon, PHARMD
• Hillary Baker
• Michael C Barish, MD
• Denise Suzanne Bartley, FNP
• Rosalynn Barton, PTA

• Registered Dietitian in Shiprock, NM
• Providers in Shiprock, NM by specialty
• Registered Dietitian in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.