Active NPI
Jennifer Carter, D.O.
- Physical Medicine & Rehabilitation Physician
- Winchester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 0102204063
- Practice address
- 333 W Cork St
Suite 270
Winchester, VA 22601-3870 - Phone
- (540) 536-5121
- Fax
- (540) 536-5129
- NPI assigned
- Jun 25, 2007
- Last updated
- Feb 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | OS015857 | PA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 0102204063 | VA | Primary |
Addresses
Primary practice location
333 W Cork St
Suite 270
Winchester, VA 22601-3870
Mailing address
PO Box 37517
Baltimore, MD 21297-3517
Phone (540) 536-7670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0102204063 | Other | VA | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jcarter112753@soc.inova.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Physician Enterprise, Inc. | Current | Accepting new patients | |
| Valley Physician Enterprise, Inc | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Valley Physician Enterprise, Inc. | Past | Accepting new patients |
Locations
1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300
333 W Cork St
Ste 270
Winchester, VA 22601
Phone (540) 536-5121
Interoperability endpoints
- jcarter112753@soc.inova.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.
-
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Physical Medicine & Rehabilitation
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-
dba Valley Health Pediatrics Front Royal
- Pediatrics Physician
- Front Royal, VA
- NPI 1447799416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614384000000",
"number": "1952507097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37517",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973517",
"telephone_number": "540-536-7670",
"fax_number": "540-536-7682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W CORK ST",
"address_2": "SUITE 270",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226013870",
"telephone_number": "540-536-5121",
"fax_number": "540-536-5129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "JENNIFER",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2021-02-27",
"certification_date": "2021-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "OS015857",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "0102204063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "0102204063",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jcarter112753@soc.inova.org",
"affiliation": "N",
"address_1": "333 W Cork St",
"address_2": "Suite 270",
"city": "Winchester",
"state": "VA",
"country_code": "US",
"postal_code": "226013870",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.