Active NPI
Teresa M. Carpenter, APN
- Adult Health Nurse Practitioner
- Anaheim, CA
National Provider Identifier
1740232420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 357578
- Practice address
- 1801 W Romneya Dr
Ste. 303
Anaheim, CA 92801-1830 - Phone
- (714) 780-5400
- Fax
- (714) 533-0945
- NPI assigned
- May 17, 2006
- Last updated
- Jul 12, 2007
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 357578 | CA | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 357578 | CA |
Addresses
Primary practice location
1801 W Romneya Dr
Ste. 303
Anaheim, CA 92801-1830
Mailing address
5801 E 7TH St
Long Beach, CA 90822
Phone (714) 780-5400
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8897 | CA | MD | Acupuncturist |
| 357578 | CA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1740232420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 E 7TH ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90822",
"telephone_number": "714-780-5400",
"fax_number": "714-533-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W ROMNEYA DR",
"address_2": "STE. 303",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011830",
"telephone_number": "714-780-5400",
"fax_number": "714-533-0945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "TERESA",
"middle_name": "M.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "357578",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "357578",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.