Individual provider Active NPI

Michele Holley Carr, RD, CD,DPM

  • Podiatrist
  • Draper, UT
National Provider Identifier
1194025213
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5765339-0501 Issued in UT
Practice address
664 Dunning CT
Draper, UT 84020-8470
Phone
(801) 495-0736
NPI assigned
Oct 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 5765339-4901 UT
Podiatrist 213E00000X 5765339-0501 UT Primary
Podiatrist 213E00000X E4105 CA

Addresses

Primary practice location

664 Dunning CT
Draper, UT 84020-8470

Mailing address

664 Dunning CT
Draper, UT 84020-8470
Phone (801) 495-0736

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5765339-4901UTMDRegistered Dietitian
E4105CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eh Hospice of the West, LLC PastSince Dec 1, 2020 Accepting new patients
Eh Home Health of the West, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1194025213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 DUNNING CT",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208470",
            "telephone_number": "801-495-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 DUNNING CT",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208470",
            "telephone_number": "801-495-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "MICHELE",
        "middle_name": "HOLLEY",
        "name_prefix": "Dr.",
        "credential": "RD, CD,DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "5765339-4901",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "5765339-0501",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.