Penelope Linda Carter, ARNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

ARNP1514312 Issued in FL

Practice address

907 Mar Walt Dr
Fort Walton Beach, FL 32547-6960

Phone

(850) 863-0006

NPI assigned

Mar 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: penelope.carter.1@15074.direct.athenahealth.com

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.

• In Your Dreams International Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Niceville, FL
  • NPI 1477587145
  NPD (past)

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1962463885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 MAR WALT DR",
            "address_2": "SUITE 2021",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476960",
            "telephone_number": "850-863-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476960",
            "telephone_number": "850-863-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "PENELOPE",
        "middle_name": "LINDA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP1514312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033400600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Carpenter
• Dorthea Carper
• John-Thomas Carrino, P.A.
• Barbara Lee Carter
• Justin Carter
• Zachary Ashton Carter, MD
• Katline Cartwright
• Emily Rebekah Caruso, BCBA, LBA
• Luisa F Carvajal, DDS
• Sidney L Cary, L.M.H.C.

• All providers in Fort Walton Beach, FL
• Women's Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.