Nikki Shaunae Carter, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.460301 Issued in OH

Practice address

580 Park Ave W
Mansfield, OH 44906-3722

Phone

(513) 834-7063

NPI assigned

Aug 16, 2009

Last updated

Jan 19, 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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.

• Cornell Abraxas Group, LLC

  dba Abraxas Counseling Center

  • Children's Substance Abuse Rehabilitation Facility
  • Shelby, OH
  • NPI 1134385669
  NPD (past)
• Cornell Abraxas Group, LLC

  • Children's Substance Abuse Rehabilitation Facility
  • Shelby, OH
  • NPI 1376518902
  NPD (past)

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

{
    "created_epoch": "1250380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1629200266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ELSINORE PL STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021459",
            "telephone_number": "513-834-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 PARK AVE W",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063722",
            "telephone_number": "513-834-7063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2775 State Route 39",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "OH",
            "postal_code": "448759466",
            "country_code": "US",
            "telephone_number": "419-747-0841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "NIKKI",
        "middle_name": "SHAUNAE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-16",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.460301",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN. 130071",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2876928",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clayton Scott Carsner
• Linda Carson, LPCC E
• Ann Denise Carter, RN
• Maria Carter
• Nicole Marie Carter, CDCA
• Precious M. Carter
• Shellie Carter, CDCA
• Kelley Cartwright
• Courtney Lynn Carver
• Joseph Ross Carver, LPN MED IV

• Registered Nurse in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.