Individual provider Active NPI

Kymberly Reid Carpenter, BSN, RN, BC

  • Health Service Clinic/Center
  • Winchester, VA
National Provider Identifier
1669620092
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
0001068639 Issued in VA
Practice address
214 S Braddock St
Winchester, VA 22601-4043
Phone
(540) 303-2548
Fax
(540) 536-6002
NPI assigned
Aug 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 0001068639 VA Primary

Addresses

Primary practice location

214 S Braddock St
Winchester, VA 22601-4043

Mailing address

455 Mountain Laurel LN
Winchester, VA 22603-2663
Phone (540) 303-2548

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001068639VAMDHealth Service Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1669620092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 MOUNTAIN LAUREL LN",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226032663",
            "telephone_number": "540-303-2548",
            "fax_number": "540-536-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S BRADDOCK ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014043",
            "telephone_number": "540-303-2548",
            "fax_number": "540-536-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "KYMBERLY",
        "middle_name": "REID",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "VA",
            "license": "0001068639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.