Active NPI
Shirley Carrenard-McDowell, FNP, PMHNP
- Family Nurse Practitioner
- Manhasset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 336942
- Practice address
- 300 Community Dr
Manhasset, NY 11030-3816 - Phone
- (516) 823-8855
- NPI assigned
- Apr 16, 2012
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5009070 | NC | |
| Family Nurse Practitioner | 363LF0000X | 336942 | NY | Primary |
Addresses
Primary practice location
300 Community Dr
Manhasset, NY 11030-3816
Mailing address
801 Summit Ave Ste 1
Greensboro, NC 27405-7813
Phone (336) 907-4345
Other names 1
- Shirley Carrenard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7780 Brier Creek Pkwy
Suite 306
Raleigh, NC 27617-8831
Phone (919) 532-9419
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336942 | NY | MD | Family Nurse Practitioner |
| 5009070 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspirational Community Health Center LLC | Multi-Specialty | Current | Accepting new patients |
| Medpsych Integrated PLLC | Multi-Specialty | Current | Accepting new patients |
| Vidant Medical Group LLC | Multi-Specialty | Current | Accepting new patients |
| Nutrans Health LLC | Multi-Specialty | Current | Accepting new patients |
| The C.W. Williams Community Health Center, Inc | Multi-Specialty | Past | Accepting new patients |
Locations
1110 SE Cary Pkwy
Ste 207
Cary, NC 27518
Phone (919) 233-0170
801 Summit Ave
Ste 1
Greensboro, NC 27405
Phone (336) 646-2000
5409 W Friendly Ave
Greensboro, NC 27410
Phone (336) 218-0994
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
123 Sunnybrook Rd
Ste 140
Raleigh, NC 27610
Phone (919) 250-0580
5109 Hollyridge Dr
Ste 103
Raleigh, NC 27612
Phone (844) 748-8443
7780 Brier Creek Pkwy
Ste 306
Raleigh, NC 27617
Phone (919) 532-9419
Interoperability endpoints
- shirley.carrenard-mcdowell.1@12412.direct.athenahealth.com
- shirley.carrenard-mcdowell.1@28779.direct.athenahealth.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
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.
-
- Community Health Clinic/Center
- Greensboro, NC
- NPI 1710551262
Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Federally Qualified Health Center (FQHC)
- Charlotte, NC
- NPI 1558308080
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1972860930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 SUMMIT AVE STE 1",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274057813",
"telephone_number": "336-907-4345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 COMMUNITY DR",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303816",
"telephone_number": "516-823-8855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRENARD-MCDOWELL",
"first_name": "SHIRLEY",
"name_prefix": "Mrs.",
"credential": "FNP, PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-16",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5009070",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "336942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHIRLEY",
"last_name": "CARRENARD",
"credential": "PMHNP, FNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.