Active NPI
Joan Gleba Carpenter, MN, RN, NP-C
- Family Nurse Practitioner
- Elkridge, MD
National Provider Identifier
1902953086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AC000236
- Practice address
- 6085 Marshalee Dr
Suite 110
Elkridge, MD 21075-6023 - Phone
- (302) 559-5627
- Fax
- (410) 379-3591
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | LG-0000344 | DE | |
| Family Nurse Practitioner | 363LF0000X | AC000236 | MD | Primary |
Addresses
Primary practice location
6085 Marshalee Dr
Suite 110
Elkridge, MD 21075-6023
Mailing address
12106 Landings Blvd
Berlin, MD 21811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0000344 | DE | MD | Family Nurse Practitioner |
| AC000236 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Eldercare Physician Services LLC | Past | Accepting new patients | |
| Augusta University | Past | Accepting new patients |
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.
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- NPI 1518901933
-
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- Augusta, GA
- NPI 1760559124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902953086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12106 LANDINGS BLVD",
"city": "BERLIN",
"state": "MD",
"postal_code": "21811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6085 MARSHALEE DR",
"address_2": "SUITE 110",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756023",
"telephone_number": "302-559-5627",
"fax_number": "410-379-3591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "JOAN",
"middle_name": "GLEBA",
"name_prefix": "Mrs.",
"credential": "MN, RN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG-0000344",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "AC000236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.