Keeley Nicole Carpenter

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

500 Military Cutoff Rd
Wilmington, NC 28405-9737

Phone

(910) 392-0080

NPI assigned

Oct 4, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1730969890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 GOLDEN ROD DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284052657",
            "telephone_number": "919-252-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MILITARY CUTOFF RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284059737",
            "telephone_number": "910-392-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "KEELEY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Vision Associates, OD, PA
• Carolinas Fertility Institute, P.a.
• Carolinas Oral & Facial Surgery Center, Inc.
• Tracy Carpenter-Labrecque, DC
• Brittney Carpenter, LCSWA
• Maria R Carpenter, BCBA
• Rebeca N Carpenter, LCSWA
• Sarah Medley Carpenter, NP
• Scott Allyn Carpenter, MSPT
• Ashly Carper, LPCA

• Behavior Technician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.