Active NPI
Marie Carter, FNP
- Family Nurse Practitioner
- Shelbyville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22345
- 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, 2017
- 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 |
|---|---|---|---|---|
| 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, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000185765 | TN | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Little Clinic of Tennessee LLC | Family | Current | Accepting new patients |
| Emergency Medicine Services of TN, PC | Family | Current | Accepting new patients |
| Delaware Hospice, Inc | Current | 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
- 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.
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1720785884
Family
-
- Family Nurse Practitioner
- White House, TN
- NPI 1487848800
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Newark, DE
- NPI 1821361072
-
- Family Medicine Physician
- Shelbyville, TN
- NPI 1871791293
-
dba Primary Care & Hope Clinic
- Federally Qualified Health Center (FQHC)
- Murfreesboro, TN
- NPI 1114973237
Family
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.