Individual provider Active NPI

Jennifer Kulemin Carter, RAS

  • Specialist
  • Placerville, CA
National Provider Identifier
1770723033
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
RI-C0902241245 Issued in CA
Practice address
2914 Cold Springs Rd Ste a
Placerville, CA 95667-4237
Phone
(530) 642-1715
Fax
(530) 642-2064
NPI assigned
Feb 26, 2009
Last updated
Feb 26, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X RI-C0902241245 CA Primary

Addresses

Primary practice location

2914 Cold Springs Rd Ste a
Placerville, CA 95667-4237

Mailing address

2914 Cold Springs Rd Ste a
Placerville, CA 95667-4237
Phone (530) 642-1715

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

State licenses

LicenseStateTypeSpecialty
RI-C0902241245CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1770723033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 COLD SPRINGS RD STE A",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674237",
            "telephone_number": "530-642-1715",
            "fax_number": "530-642-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 COLD SPRINGS RD STE A",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674237",
            "telephone_number": "530-642-1715",
            "fax_number": "530-642-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JENNIFER",
        "middle_name": "KULEMIN",
        "name_prefix": "Mrs.",
        "credential": "RAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "RI-C0902241245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.