Active NPI
Christina D. Carpenter, ACNP-BC
- Acute Care Nurse Practitioner
- Baton Rouge, LA
National Provider Identifier
1619213899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RN123094AP07551
- Practice address
- 500 Rue de la Vie St Ste 513
Baton Rouge, LA 70817-5129 - Phone
- (225) 924-8550
- NPI assigned
- Dec 17, 2012
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 17182 | TN | |
| Acute Care Nurse Practitioner | 363LA2100X | RN123094AP07551 | LA | Primary |
Addresses
Primary practice location
500 Rue de la Vie St Ste 513
Baton Rouge, LA 70817-5129
Mailing address
500 Rue de la Vie St Ste 513
Baton Rouge, LA 70817-5129
Phone (225) 924-8550
Other practice location 1
7777 Hennessy Blvd
Suite 701
Baton Rouge, LA 70808-4300
Phone (225) 765-5864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2351290 | Medicaid | LA |
Other names 1
- Mrs. Christina Dodson Riley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17182 | TN | MD | Anatomic Pathology & Clinical Pathology Physician |
| RN123094AP07551 | LA | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1619213899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 RUE DE LA VIE ST STE 513",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708175129",
"telephone_number": "225-924-8550",
"fax_number": "225-924-8647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 RUE DE LA VIE ST STE 513",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708175129",
"telephone_number": "225-924-8550"
}
],
"practiceLocations": [
{
"address_1": "7777 Hennessy Blvd",
"address_2": "Suite 701",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708084300",
"country_code": "US",
"telephone_number": "225-765-5864",
"fax_number": "225-344-0583",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARPENTER",
"first_name": "CHRISTINA",
"middle_name": "D.",
"name_prefix": "Miss",
"credential": "ACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-17",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "17182",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "LA",
"license": "RN123094AP07551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2351290",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "RILEY",
"middle_name": "DODSON",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.