Individual provider Active NPI

Heather Marie Carr

  • Pediatrics Physician
  • Richmond, KY
National Provider Identifier
1568102804
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
60827 Issued in KY
Practice address
793 Eastern Byp Ste 110
Richmond, KY 40475-2425
Phone
(859) 624-2020
Fax
(859) 623-7362
NPI assigned
Apr 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 60827 KY Primary

Addresses

Primary practice location

793 Eastern Byp Ste 110
Richmond, KY 40475-2425

Mailing address

793 Eastern Byp Ste 110
Richmond, KY 40475-2425
Phone (859) 624-2020

Other practice location 1

800 Rose St Rm Mn472
Lexington, KY 40536-7001
Phone (859) 323-5157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230919003877 KY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3870957103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60827KYMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1568102804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 EASTERN BYP STE 110",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752425",
            "telephone_number": "859-624-2020",
            "fax_number": "859-623-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 EASTERN BYP STE 110",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752425",
            "telephone_number": "859-624-2020",
            "fax_number": "859-623-7362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose St Rm Mn472",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405367001",
            "country_code": "US",
            "telephone_number": "859-323-5157",
            "fax_number": "859-323-1214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "60827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.