Individual provider Active NPI

Blenda A Jones Carter, RN

  • Medical-Surgical Registered Nurse
  • Lake City, FL
National Provider Identifier
1740932250
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
9452947 Issued in FL
Practice address
219 SE Jeremy PL
Lake City, FL 32025-3901
Phone
(386) 438-4488
NPI assigned
Jan 25, 2022
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 9452947 FL Primary

Addresses

Primary practice location

219 SE Jeremy PL
Lake City, FL 32025-3901

Mailing address

219 SE Jeremy PL
Lake City, FL 32025-3901
Phone (386) 438-4488

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
9452947FLMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Carter's Competent Care Staffing Agency, LLC CurrentSince Mar 5, 2023 Accepting new patients
Carters Confident Care Current Accepting new patients

Organizations & group practices 2

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": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1740932250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 SE JEREMY PL",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320253901",
            "telephone_number": "386-438-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 SE JEREMY PL",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320253901",
            "telephone_number": "386-438-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES CARTER",
        "first_name": "BLENDA",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "FL",
            "license": "9452947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.