Active NPI
Christine Carpenter, CRNP
- Family Nurse Practitioner
- Fort Myers, FL
National Provider Identifier
1972555795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- VP004327B
- Practice address
- 7981 Gladiolus Dr
Fort Myers, FL 33908-4154 - Phone
- (239) 939-0999
- Fax
- (239) 939-1070
- NPI assigned
- May 17, 2006
- 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 | ARNP 9231344 | FL | |
| Family Nurse Practitioner | 363LF0000X | VP004327B | PA | Primary |
Addresses
Primary practice location
7981 Gladiolus Dr
Fort Myers, FL 33908-4154
Mailing address
7981 Gladiolus Dr
Fort Myers, FL 33908-4154
Phone (239) 939-0999
Other names 1
- Christine Carpenter
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9231344 | FL | MD | Family Nurse Practitioner |
| VP004327B | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berwick Clinic Company LLC | Family | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/1704/brand/1/csg/81/fhir/r4
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Berwick, PA
- NPI 1184793127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445212800000",
"number": "1972555795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7981 GLADIOLUS DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339084154",
"telephone_number": "239-939-0999",
"fax_number": "239-939-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7981 GLADIOLUS DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339084154",
"telephone_number": "239-939-0999",
"fax_number": "239-939-1070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2015-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 9231344",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "VP004327B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "CARPENTER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.