Individual provider Active NPI

Marie Carter, FNP

  • Family Nurse Practitioner
  • Shelbyville, TN
National Provider Identifier
1730625427
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22345 Issued in TN
Practice address
1701 N Main St
Suite C
Shelbyville, TN 37160-2303
Phone
(931) 685-9000
NPI assigned
Jan 18, 2017
Last updated
Mar 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22345 TN Primary
Emergency Registered Nurse 163WE0003X RN0000185765 TN

Addresses

Primary practice location

1701 N Main St
Suite C
Shelbyville, TN 37160-2303

Mailing address

1120 Union St
Shelbyville, TN 37160-2137
Phone (931) 409-6501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170808001417 TN Practitioner - Nurse Practitioner 3476824541 Reassigns benefits to 2 organizations
I20180517002983 DE Practitioner - Nurse Practitioner 3476824541 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN0000185765TNMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Tennessee LLC Family CurrentSince Apr 15, 2020 Accepting new patients
Emergency Medicine Services of TN, PC Family CurrentSince Apr 1, 2023 Accepting new patients
Delaware Hospice, Inc CurrentSince Jul 16, 2019 Accepting new patients
Rutherford County Primary Care Family Past Accepting new patients
Frank L Jayakody MD PC Past Accepting new patients

Locations

630 Churchmans Rd
Ste 200
Newark, DE 19702
Phone (302) 478-5707

3054 Columbia Ave
Franklin, TN 37064
Phone (615) 550-0091

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

Interoperability endpoints

  • Direct secure messaging: marie.carter@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1730625427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 UNION ST",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602137",
            "telephone_number": "931-409-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N MAIN ST",
            "address_2": "SUITE C",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602303",
            "telephone_number": "931-685-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22345",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TN",
            "license": "RN0000185765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, TN

Sources for this page

Verify at the official NPI Registry.