Larry Dean Carter Jr., APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

019320 Issued in OH

Practice address

912 Park Ave
Ironton, OH 45638-1596

Phone

(740) 534-0021

Fax

(740) 534-0029

NPI assigned

Aug 28, 2016

Sex

Male

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

Enrolled in OH

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

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922554286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 PARK AVE",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381596",
            "telephone_number": "740-534-0021",
            "fax_number": "740-534-0029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1711 27th St.",
            "address_2": "Braunlin Bldg Suite 306",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456622669",
            "country_code": "US",
            "telephone_number": "740-353-8661 x235",
            "fax_number": "740-354-3254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "LARRY",
        "middle_name": "DEAN",
        "name_suffix": "Jr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "019320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Carpenter
• Heath T Carson, CDCA
• Alexys Carter, CDCA
• Carol M Carter, BSW
• Earnest Allen Carter
• Jerry Carver, CDCA
• James Robert Castle, D.C.
• Steve Castle, CDCA
• Shauna Caudill
• Tabitha Lynn Caudill

• Nurse Practitioner in Ironton, OH
• Providers in Ironton, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.