Cheryl Denise Carpenter, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-05203 Issued in NC

Practice address

705 S Mangum St
Durham, NC 27701-3904

Phone

(919) 683-1607

NPI assigned

Nov 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

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.

• Baart Community Healthcare

  dba BAART Programs Durham

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Durham, NC
  • NPI 1376075556
  NPD (past)
• Park Ophthalmology

  • Ophthalmology Physician
  • Durham, NC
  • NPI 1619150141
  NPD (past)

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1821494097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S MANGUM ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013904",
            "telephone_number": "919-683-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S MANGUM ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013904",
            "telephone_number": "919-683-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "CHERYL",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-05203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Nicole Carollo, CPNP - AC
• Kelly Caron, PHD
• Michaela Caron, OTR/L
• Anna Carpenter
• Bryanna Ashlee Carpenter, MD, MPH
• Erin M Carpenter
• Frederick J Carpenter, M.D.
• Kennedy Lauren Carpenter, MD
• John F Carr, M.D.
• Lindsay Elaine Carr, LCSW-A

• Medical Physician Assistant in Durham, NC
• Providers in Durham, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.