Individual provider Active NPI

Carmen Baldwin, NP

  • Family Nurse Practitioner
  • Canton, OH
National Provider Identifier
1801646138
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0035981 Issued in OH
Practice address
4875 Higbee Ave NW
Canton, OH 44718-2566
Phone
(330) 492-3345
NPI assigned
Mar 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0035981 OH Primary

Addresses

Primary practice location

4875 Higbee Ave NW
Canton, OH 44718-2566

Mailing address

4875 Higbee Ave NW
Canton, OH 44718-2566
Phone (847) 722-7054

Other names 1

  • Carmen Shamoon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250123002033 OH Practitioner - Nurse Practitioner 7315476116 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0035981OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Liberty Pharmacy CurrentSince Jan 1, 2025 Accepting new patients
Nashat Y Gabrail MD Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

4875 Higbee Ave NW
Canton, OH 44718
Phone (330) 492-3345

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1801646138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182566",
            "telephone_number": "847-722-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182566",
            "telephone_number": "330-492-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "CARMEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "SHAMOON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.