CARPENTER HEALTH PLLC
NPI 1427776319
Nurse Practitioner - Family in Clarkston, WA

Active since August 17, 2022CLIA 50D2272718 · Waiver
1268 BRIDGE ST, CLARKSTON, WA 99403(509) 758-9524(509) 758-8258 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 18, 2023, Mar 30, 2023, Mar 24, 2023 and 4 more (7 updates tracked since 2022).

About Carpenter Health Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARPENTER HEALTH PLLC (NPI 1427776319) is a healthcare organization registered as a family in Clarkston, Washington and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Todd Carpenter, Owner, as its authorized official.

NPPES Registry Identity

NPI1427776319
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCARPENTER HEALTH PLLC
Location Address1268 BRIDGE STClarkston, WA 99403-2219
Mailing Address1268 Bridge StClarkston, WA 99403-2219 · (509) 758-9524 · Fax (509) 758-8258
Fax(509) 758-8258
Organization SubpartNo
Authorized OfficialTodd CarpenterOwner · (509) 758-9524
Enumeration DateAugust 17, 2022
Last NPPES UpdateJuly 18, 20237 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
NPI 1427776319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
1268 BRIDGE ST, Clarkston, WA 99403

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2272718

Carpenter Health PLLC · Lewiston, ID
Active · expires Apr 4, 2028
CLIA Number50D2272718
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 28, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorTodd Carpenter
Laboratory Phone(509) 758-9524
Laboratory LocationCarpenter Health PLLC1023 21st Street, Lewiston, ID 83501
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1268 BRIDGE ST
CLARKSTON, WA 99403
Family Medicine
1268 BRIDGE ST
CLARKSTON, WA 99403
Family Medicine
1268 BRIDGE ST
CLARKSTON, WA 99403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427776319, enumerated as an "organization" on August 17, 2022.

The provider is located at 1268 BRIDGE ST CLARKSTON, WA 99403 and the phone number is (509) 758-9524.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.