Carpenter Primary Healthcare, PLLC
NPI 1770971533ActiveOrganization· Nurse Practitioner, Family· Memphis, TN
Nurse Practitioner, Family in Memphis, Tennessee, registered in NPPES in January 2015. The authorized official on file is Kenneth Andre Carpenter, Chief Operating Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770971533 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 2, 2015 |
| Last updated in NPPES | Aug 22, 2023 |
| Certified by provider | Aug 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 6284 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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