Active NPI
Emma Carpenter
- Contractor
- Vero Beach, FL
National Provider Identifier
1982073003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- PTA 25858
- Practice address
- 1705 17TH Ave
Vero Beach, FL 32960-3641 - Phone
- (772) 562-6877
- NPI assigned
- Sep 18, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | PTA 25858 | FL | Primary |
Addresses
Primary practice location
1705 17TH Ave
Vero Beach, FL 32960-3641
Mailing address
1705 17TH Ave
Vero Beach, FL 32960-3641
Phone (772) 562-6877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25858 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 25858 | FL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442534400000",
"number": "1982073003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 17TH AVE",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329603641",
"telephone_number": "772-562-6877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 17TH AVE",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329603641",
"telephone_number": "772-562-6877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "EMMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-18",
"last_updated": "2015-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "PTA 25858",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "25858",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.