PHOEBE KITSUM CARPENTER (NPI# 1639501489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639501489 |
| Entity Type | Individual |
| Full Name | PHOEBE KITSUM CARPENTER |
| Other Name | PHOEBE KITSUM CHAN |
| Credential | CNP |
| Practice Address |
4172 Indian Ripple Rd Suite A Beavercreek OH 45440-3285 |
| Mailing Address |
447 Timberlea Trl Kettering OH 45429-1933 |
| Practice Telephone | 9374313779 |
| Practice Fax Number | 9374313776 |
| Mailing Telephone | 6502741448 |
| Enumeration Date | 2013-08-04 |
| Last Update Date | 2014-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COI.15443-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
23319 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
COI.15443-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
23319 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0095160 | 05 | |
| OH | OHIO STATE LICENSE | COI.15443-NP | 01 |
| Street Address |
4172 INDIAN RIPPLE RD SUITE A |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45440-3285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235128281 | Steven Brian Taylor | Psychiatry & Neurology | 4172 Indian Ripple Rd, Beavercreek, OH 45440-3285 | 2005-10-20 |
| 1780162172 | Tamu Swanson | Nurse Practitioner | 4172 Indian Ripple Rd, Ste A, Beavercreek, OH 45440-3286 | 2018-07-30 |
| 1659762300 | Emily Pyles | Counselor | 4172 Indian Ripple Rd, Beavercreek, OH 45440-3285 | 2015-02-16 |
| 1548542855 | Alliance Physician Inc | Family Medicine | 4172 Indian Ripple Rd, Suite A, Beavercreek, OH 45440-3286 | 2011-09-13 |
| 1588950539 | Glenn R Armstrong | Registered Nurse | 4172 Indian Ripple Rd, Beavercreek, OH 45440-3285 | 2011-06-28 |
| 1366424798 | Katherine A Clark | Family Medicine | 4172 Indian Ripple Rd, Beavercreek, OH 45440-3285 | 2005-11-21 |
| 1063494714 | Gordon S Walbroehl | Family Medicine | 4172 Indian Ripple Rd, Ste. A, Beavercreek, OH 45440-3285 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657568 | Jason Michael Knippen | Pharmacist | 5400 Cornerstone, Centerville, OH 45440 | 2020-10-20 |
| 1184222564 | Kimberly Downs | Pharmacist | 5400 North Cornerstone Blvd, Centerville, OH 45440 | 2020-10-16 |
| 1659902153 | Caryn Hoffman | Pharmacist | 5400 Cornerstone Blvd, Centerville, OH 45440 | 2020-02-03 |
| 1023673100 | Katren Elizabeth Clark | Psychologist | 70 Birch Alley, Suite 240, Dayton, OH 45440 | 2019-05-05 |
| 1649784737 | Amy Lynn Winstead | Dietitian, Registered | 5721 Bigger Road, Kettering, OH 45440 | 2017-11-28 |
| 1104245455 | Aprscp, Inc. | Hearing Instrument Specialist | 3341 East Stroop Road, Kettering, OH 45440 | 2014-04-15 |
| 1457601858 | Victoria L Saylor | Pharmacy Technician | 4480 Indianripple Rd, Dayton, OH 45440 | 2012-09-12 |
| 1528368644 | Sara Jankowski | Art Therapist | 5178 Scarsdale Dr., Kettering, OH 45440 | 2010-10-22 |
| 1356651012 | Senior Options Group | Home Health | 4025 Marshall Road, Kettering, OH 45440 | 2010-10-15 |
| 1417106345 | Sheenu Goel | Dentist | 4235 Indian Ripple Rd., Suite 200a, Dayton, OH 45440 | 2008-09-16 |
| Find all providers in zip 45440 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992849509 | Phyllis J Atkinson | Nurse Practitioner | 725 University Blvd, Beavercreek, OH 45324-2640 | 2007-02-16 |
| 1972500023 | Gaileen L Doxsie | Nurse Practitioner | 725 University Blvd, Beavercreek, OH 45324-2640 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1649879032 | Danielle Wines | Nurse Practitioner | 5933 Sarah Lake Dr, Sylvania, OH 43560-9201 | 2020-10-19 |
| 1881292902 | Karen Cooper | Nurse Practitioner | 730 A Kittle Road, Wheelersburg, OH 45694 | 2020-10-12 |
| 1659983252 | Michael A. Adams | Nurse Practitioner | 3837 Washington Blvd, University Heights, OH 44118-3158 | 2020-08-17 |
| 1912516709 | Susan Marie Hessey | Nurse Practitioner | 4502 Satinwood Dr, Toledo, OH 43623-3350 | 2020-07-28 |
| 1518585728 | Diane Louise Lamb | Nurse Practitioner | 3163 Hook Waltz Rd E, Elida, OH 45807-9555 | 2020-07-14 |
| 1215553052 | Jennifer Cordray | Nurse Practitioner | 5452 Grace Dr, Mentor, OH 44060-1500 | 2020-06-17 |
| 1053943134 | Chunyan Mcelroy | Nurse Practitioner | 101 Meadowlands Dr Apt D8, Chardon, OH 44024-9379 | 2020-02-06 |
| 1790324432 | Ashley Nicole Neely | Nurse Practitioner | 890 Oakwood Dr, Alliance, OH 44601-5435 | 2019-12-28 |
| 1710530357 | Christine Marie Hoover | Nurse Practitioner | 65 Community Rd Ste C, Tallmadge, OH 44278-2358 | 2019-07-23 |
| Find all providers with the same taxonomy | ||||
| City | BEAVERCREEK |
| Zip Code | 45440 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.