Active NPI
Michele Holley Carr, RD, CD,DPM
- Podiatrist
- Draper, UT
National Provider Identifier
1194025213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5765339-0501
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5765339-4901 | UT | MD | Registered Dietitian |
| E4105 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eh Hospice of the West, LLC | Past | 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.
-
- Home Health Agency
- Murray, UT
- NPI 1114208550
-
- Community Based Hospice Care Agency
- Murray, UT
- NPI 1427339878
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.