Heather N Carpenter, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

01705 Issued in WV

Practice address

4407 Maccorkle Ave SE
Charleston, WV 25304-2541

Phone

(049) 250-3923

Fax

(304) 925-0396

NPI assigned

Nov 26, 2013

Last updated

Oct 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

Other names 1

• Heather N Hudson Former name

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4

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.

• THS Physician Partners Inc

  • Internal Medicine Physician
  • South Charleston, WV
  • NPI 1871866806
  Medicare reassignment
• Valley Health Systems Inc

  dba Valley Health East Huntington Health Center

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1720333461
  Medicare reassignment
• Valley Health Systems, Inc

  dba Valley Health- Kanawha City

  • Federally Qualified Health Center (FQHC)
  • Charleston, WV
  • NPI 1407466535
  NPD
• Valley Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1508720913
  NPD
• Valley Health Systems, Inc.

  dba Valley Health - Fee for Service

  • Clinic/Center
  • Huntington, WV
  • NPI 1659252591
  NPD
• Womencare Inc

  dba FamilyCare Health Center

  • Federally Qualified Health Center (FQHC)
  • Cross Lanes, WV
  • NPI 1396237434
  NPD
• Womencare Inc

  dba FamilyCare HealthCenter

  • Federally Qualified Health Center (FQHC)
  • Barboursville, WV
  • NPI 1447618327
  NPD
• Womencare Inc

  dba Familycare Health Center

  • Federally Qualified Health Center (FQHC)
  • Dunbar, WV
  • NPI 1578073706
  NPD
• Womencare Inc

  dba Familycare Health Centers

  • Federally Qualified Health Center (FQHC)
  • Marmet, WV
  • NPI 1730671751
  NPD
• Womencare Inc

  dba FamilyCare

  • Federally Qualified Health Center (FQHC)
  • Charleston, WV
  • NPI 1790276525
  NPD
• Womencare Inc

  dba Familycare Health Center

  • Federally Qualified Health Center (FQHC)
  • Saint Albans, WV
  • NPI 1902166945
  NPD
• Womencare Inc

  dba FamilyCare Health Center - Hurricane

  • Federally Qualified Health Center (FQHC)
  • Hurricane, WV
  • NPI 1962045948
  NPD

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1659701738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1680",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257171680",
            "telephone_number": "304-697-1396",
            "fax_number": "304-697-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042541",
            "telephone_number": "049-250-3923",
            "fax_number": "304-925-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "HEATHER",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810026906",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HUDSON",
            "middle_name": "N",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gracie Leigh Carnes, RN
• Patricia Ann Carnes, D.C.
• Richard Carney, PHARM D
• Destiny Carpenter
• Edna Carpenter
• Jeremy Carpenter, CRNA
• Jessica Carpenter
• Kara Darlene Carpenter, PA C
• Kimberly Carpenter
• Kylie Carpenter

• Medical Physician Assistant in Charleston, WV
• Providers in Charleston, WV by specialty
• Medical Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.