Joanna Carter, M.ED, CNA, MA, PRS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

0180865658 Issued in VA

Practice address

204 N Main St
Second Floor
Bowling Green, VA 22427-9416

Phone

(202) 997-5738

Fax

(804) 729-3529

NPI assigned

Jun 24, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education, Master of Arts

State licenses

Practice roles

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.

• 10-7 Farms

  • Recovery Care Clinic/Center
  • Ruther Glen, VA
  • NPI 1457011421
  NPD Authorized official
• I Count LLC

  • Community/Behavioral Health Agency
  • Bowling Green, VA
  • NPI 1871453324
  NPD Authorized official

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1972954576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 613",
            "city": "BOWLING GREEN",
            "state": "VA",
            "postal_code": "224270613",
            "telephone_number": "202-769-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N MAIN ST",
            "address_2": "SECOND FLOOR",
            "city": "BOWLING GREEN",
            "state": "VA",
            "postal_code": "224279416",
            "telephone_number": "202-997-5738",
            "fax_number": "804-729-3529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25022 Richmond Tpke",
            "address_purpose": "LOCATION",
            "city": "Ruther Glen",
            "state": "VA",
            "postal_code": "225464500",
            "country_code": "US",
            "telephone_number": "202-769-2032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JOANNA",
        "credential": "M.ED, CNA, MA, PRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "VA",
            "license": "0180865658",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "VA",
            "license": "0181969996",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180865658",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181969996",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Butler-Hodge
• Carol A Campbell, CRNP
• Clarence Campbell III, D.D.S.
• Caroline County Board of Supervisors
• Caroline County Publis Schools
• Central Virginia Health Services Inc
• Katherine Anna Collins, R.PH.
• Michelle Kirsten Conely, PHARMD
• Core Dentistry LLC
• Stephen Crouch

• All providers in Bowling Green, VA
• Case Manager/Care Coordinator in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.