Individual provider Active NPI

Kacy Nicole Carpenter, D.O.

  • Obstetrics & Gynecology Physician
  • Paris, TX
National Provider Identifier
1871930388
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R0200 Issued in TX
Practice address
2850 Lewis LN
Ste 101
Paris, TX 75460-9383
Phone
(903) 784-0800
Fax
(903) 784-0866
NPI assigned
May 24, 2013
Last updated
Jan 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R0200 TX Primary

Addresses

Primary practice location

2850 Lewis LN
Ste 101
Paris, TX 75460-9383

Mailing address

2850 Lewis LN
Ste 101
Paris, TX 75460-9383
Phone (903) 784-0800

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161216000195 TX Practitioner - Obstetrics/Gynecology 2668752262 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatrix Medical Group of Texas Billing IncGroup PAC ID 0042283921, 36 clinicians

Practice addresses (Care Compare)

11801 S Fwy
Burleson, TX 76028-7021
Phone 80024338397746

1604 Rock Prairie Rd
College Station, TX 77845-8343
Phone 80024338397746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC Obstetrics & Gynecology CurrentSince Oct 7, 2021 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Mar 30, 2021 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Oct 7, 2021 Accepting new patients
Paris OB-GYN Obstetrics & Gynecology CurrentSince Dec 1, 2016 Accepting new patients
Pediatrix Medical Group of Texas Billing, Inc. Obstetrics & Gynecology CurrentSince May 1, 2022 Accepting new patients

Locations

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

3500 Gaston Ave
Dallas, TX 75246

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

2850 Lewis Ln
Ste 101
Paris, TX 75460
Phone (903) 739-2244

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1871930388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 LEWIS LN",
            "address_2": "STE 101",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609383",
            "telephone_number": "903-784-0800",
            "fax_number": "903-784-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 LEWIS LN",
            "address_2": "STE 101",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609383",
            "telephone_number": "903-784-0800",
            "fax_number": "903-784-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "KACY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "R0200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.