Active NPI
Danielle Carpenter, FNP
- Family Nurse Practitioner
- Tell City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18034180204
- Practice address
- 211 US Highway 66 E
Tell City, IN 47586-2757 - Phone
- (812) 979-2136
- NPI assigned
- Jun 5, 2019
- Last updated
- Oct 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71012570A | IN | |
| Family Nurse Practitioner | 363LF0000X | 18034180204 | MI | Primary |
Addresses
Primary practice location
211 US Highway 66 E
Tell City, IN 47586-2757
Mailing address
314 Stockbridge LN
Lafayette, IN 47909-6324
Phone (586) 337-0967
Other practice location 1
21931 E 9 Mile Rd
Saint Clair Shores, MI 48080-2906
Phone (586) 533-2622
Other practice location 2
1289 S Linden Rd
Flint, MI 48532-3499
Phone (810) 515-1128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Georgetown University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3727 E Market St
Logansport, IN 46947-4589
Phone (574) 727-2114
4152 W State Rd
Hanover, IN 47243-9070
Phone (901) 351-1791
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18034180204 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients |
Locations
1159 W Jefferson St
Ste 204
Franklin, IN 46131
4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510
211 US Highway 66 E
Tell City, IN 47586
Phone (812) 722-4380
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Hanover, IN
- NPI 1649770769
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1609434539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 STOCKBRIDGE LN",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479096324",
"telephone_number": "586-337-0967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 US HIGHWAY 66 E",
"city": "TELL CITY",
"state": "IN",
"postal_code": "475862757",
"telephone_number": "812-979-2136"
}
],
"practiceLocations": [
{
"address_1": "21931 E 9 Mile Rd",
"address_purpose": "LOCATION",
"city": "Saint Clair Shores",
"state": "MI",
"postal_code": "480802906",
"country_code": "US",
"telephone_number": "586-533-2622",
"fax_number": "586-298-6938",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1289 S Linden Rd",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485323499",
"country_code": "US",
"telephone_number": "810-515-1128",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARPENTER",
"first_name": "DANIELLE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-05",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71012570A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "18034180204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tell City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.