Active NPI
Shannon Leigh Carpenter, M.D.
- Family Medicine Physician
- Saint Albans, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24882
- Practice address
- 12 Kanawha Ter
Saint Albans, WV 25177 - Phone
- (304) 201-1130
- Fax
- (304) 201-1134
- NPI assigned
- Apr 20, 2009
- 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 Medicine Physician | 207Q00000X | 24882 | WV | Primary |
| Hospitalist Physician | 208M00000X | 24882 | WV |
Addresses
Primary practice location
12 Kanawha Ter
Saint Albans, WV 25177
Mailing address
3200 Maccorkle Ave SE
Suite B16
Charleston, WV 25304
Phone (304) 388-5848
Other practice location 1
3200 MacCorkle Ave SE
Suite 502
Charleston, WV 25304-1227
Phone (304) 388-5848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810024872 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- West Virginia University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 Hospital Dr
Hurricane, WV 25526-9202
Phone (304) 757-1700
501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 69.71
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare, Inc | Current | Accepting new patients | |
| Womencare, Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare, Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare, Inc | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients |
Locations
415 Morris St
Ste 104
Charleston, WV 25301
Phone (304) 343-1399
415 Morris St
Ste 309
Charleston, WV 25301
Phone (304) 348-3290
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550
3200 Maccorkle Ave SE
Ste B16
Charleston, WV 25304
Phone (304) 388-5848
3200 Maccorkle Ave SE
Ste 502
Charleston, WV 25304
Phone (304) 388-5848
3703 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-2273
12 Kanawha Ter
Saint Albans, WV 25177
Phone (304) 201-1130
97 Great Teays Blvd
Ste 6
Scott Depot, WV 25560
Interoperability endpoints
- https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Federally Qualified Health Center (FQHC)
- Madison, WV
- NPI 1740450089
-
- Federally Qualified Health Center (FQHC)
- Cross Lanes, WV
- NPI 1396237434
-
- Federally Qualified Health Center (FQHC)
- Barboursville, WV
- NPI 1447618327
-
- Federally Qualified Health Center (FQHC)
- Dunbar, WV
- NPI 1578073706
-
- Federally Qualified Health Center (FQHC)
- Marmet, WV
- NPI 1730671751
-
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1790276525
-
- Federally Qualified Health Center (FQHC)
- Saint Albans, WV
- NPI 1902166945
-
- Federally Qualified Health Center (FQHC)
- Hurricane, WV
- NPI 1962045948
-
- Federally Qualified Health Center (FQHC)
- Eleanor, WV
- NPI 1255660056
-
- Federally Qualified Health Center (FQHC)
- Winfield, WV
- NPI 1760268643
-
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1972773224
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Charleston, WV
- NPI 1265421226
-
- General Acute Care Hospital
- Beckley, WV
- NPI 1427904002
-
- General Acute Care Hospital
- Beckley, WV
- NPI 1508712118
-
- Rehabilitation Hospital Unit
- Charleston, WV
- NPI 1639168693
-
- General Acute Care Hospital
- Beckley, WV
- NPI 1689520264
-
- General Acute Care Hospital
- Fayetteville, WV
- NPI 1932055589
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1952390239
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Community/Retail Pharmacy
- Charleston, WV
- NPI 1134518186
Hospital
-
- Hospitalist Physician
- Ronceverte, WV
- NPI 1972125995
-
- General Acute Care Hospital
- Fayetteville, WV
- NPI 1174479513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1770727836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 MACCORKLE AVE SE",
"address_2": "SUITE B16",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25304",
"telephone_number": "304-388-5848",
"fax_number": "304-388-9654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 KANAWHA TER",
"city": "SAINT ALBANS",
"state": "WV",
"postal_code": "25177",
"telephone_number": "304-201-1130",
"fax_number": "304-201-1134"
}
],
"practiceLocations": [
{
"address_1": "3200 MacCorkle Ave SE",
"address_2": "Suite 502",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253041227",
"country_code": "US",
"telephone_number": "304-388-5848",
"fax_number": "304-388-9654",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARPENTER",
"first_name": "SHANNON",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-20",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "24882",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WV",
"license": "24882",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810024872",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Albans, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.