Individual provider Active NPI

Shirley Carrenard-McDowell, FNP, PMHNP

  • Family Nurse Practitioner
  • Manhasset, NY
National Provider Identifier
1972860930
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
336942 Issued in NY
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

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170830004008 NC Practitioner - Nurse Practitioner 8123312956 Reassigns benefits to 3 organizations

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
Medpsych Integrated PLLCGroup PAC ID 2062759202, 4 clinicians

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

LicenseStateTypeSpecialty
336942NYMDFamily Nurse Practitioner
5009070NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inspirational Community Health Center LLC Multi-Specialty CurrentSince May 10, 2023 Accepting new patients
Medpsych Integrated PLLC Multi-Specialty CurrentSince Nov 4, 2024 Accepting new patients
Vidant Medical Group LLC Multi-Specialty CurrentSince Jul 9, 2018 Accepting new patients
Nutrans Health LLC Multi-Specialty CurrentSince Jan 24, 2024 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

  • Direct secure messaging: shirley.carrenard-mcdowell.1@12412.direct.athenahealth.com
  • Direct secure messaging: shirley.carrenard-mcdowell.1@28779.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.