Individual provider Active NPI

Jennifer Lindsey Kennedy Carter, PA-C

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1841512530
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0004169 Issued in MD
Practice address
4940 Eastern Ave. Johns Hopkins Bayview Medical Center
Dept. of Pediatrics
Baltimore, MD 21224
Phone
(410) 550-0301
NPI assigned
Feb 22, 2010
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0004169 MD Primary

Addresses

Primary practice location

4940 Eastern Ave. Johns Hopkins Bayview Medical Center
Dept. of Pediatrics
Baltimore, MD 21224

Mailing address

PO Box 64316
Baltimore, MD 21264-4316
Phone (410) 933-1241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100921000045 MD Practitioner - Physician Assistant 6800911314 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0004169MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Dec 12, 2013 Accepting new patients
Johns Hopkins University CurrentSince Dec 12, 2013 Accepting new patients

Locations

4940 Eastern Ave
Baltimore, MD 21224

601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080

Interoperability endpoints

  • Direct secure messaging: jkennedy34410@direct.hopkinsmedicine.org

Organizations & group practices 3

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": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1841512530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64316",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644316",
            "telephone_number": "410-933-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVE. JOHNS HOPKINS BAYVIEW MEDICAL CENTER",
            "address_2": "DEPT. OF PEDIATRICS",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21224",
            "telephone_number": "410-550-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY CARTER",
        "first_name": "JENNIFER",
        "middle_name": "LINDSEY",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.