Chiniqua L Carter, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1018695 Issued in TX

Practice address

1400 WSW Loop 323 Ste 60
Tyler, TX 75701-7059

Phone

(903) 526-4875

Fax

(903) 526-4876

NPI assigned

Nov 6, 2023

Last updated

Sep 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Advanced Health Center PLLC

  • Integrative Medicine Physician
  • Tyler, TX
  • NPI 1760128995

  Multi-Specialty

  Medicare reassignment NPD
• Carefront Medical Group, PLLC

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1982169223

  Multi-Specialty

  Medicare reassignment NPD
• Hillside Primary Care PLLC

  • Internal Medicine Physician
  • Live Oak, TX
  • NPI 1205349040

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1861265233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8217 ROSEWOOD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441056633",
            "telephone_number": "216-376-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WSW LOOP 323 STE 60",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017059",
            "telephone_number": "903-526-4875",
            "fax_number": "903-526-4876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8217 Rosewood Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441056633",
            "country_code": "US",
            "telephone_number": "216-376-1002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "719 W Coke Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Winnsboro",
            "state": "TX",
            "postal_code": "754943060",
            "country_code": "US",
            "telephone_number": "903-342-3760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Medical Cir",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822138",
            "country_code": "US",
            "telephone_number": "903-885-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CHINIQUA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1018695",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1018695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedi Carson
• Carter Bloodcare (Stewart Regional Blood Center)
• Ashlee Carter
• Barrett Carter, PHARMD
• Bruce C Carter, M.D.
• Christen Carter, PA-C
• Clinton John Carter, M.D.
• Cody Alan Carter, D.C.
• Jeannie Snodgrass Carter
• Jessica Diane Carter

• Family Nurse Practitioner in Tyler, TX
• Providers in Tyler, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.