Individual provider Active NPI

Vicki Lakwanda Carr, MD

  • Pediatric Dermatology Physician
  • Spring, TX
National Provider Identifier
1619172202
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Dermatology PhysicianTaxonomy code 207NP0225X
License
BP2-0018536 Issued in TX
Practice address
20311 Kuykendahl Rd.
Spring, TX 77379-2614
Phone
(832) 717-3376
Fax
(832) 717-0004
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dermatology Physician 207NP0225X BP2-0018536 TX Primary

Addresses

Primary practice location

20311 Kuykendahl Rd.
Spring, TX 77379-2614

Mailing address

25214 Fleming Meadow
Spring, TX 77389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20081121000452 TX Practitioner - Dermatology 9234299108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical Branch at Galveston, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vicki Carr MD PAGroup PAC ID 0042370918, 6 clinicians

Practice addresses (Care Compare)

20311 Kuykendahl Rd
Spring, TX 77379-3324
Phone (832) 717-3376

Merit-based Incentive Payment System (MIPS)

Final score
82.14 of 100Reported as individual
Quality
68.08
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions675
Removal or shaving of skin growth21
Skin biopsy181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP2-0018536TXMDPediatric Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vicki Carr MD PA CurrentSince Nov 1, 2008 Accepting new patients

Locations

1120 Medical Plaza Dr
Ste 130
Shenandoah, TX 77380
Phone (281) 444-7666

21301 Kuykendahl Rd
Ste J
Spring, TX 77379
Phone (713) 429-0881

20311 Kuykendahl Rd
Spring, TX 77379
Phone (346) 371-4327

Organizations & group practices 1

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1619172202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25214 FLEMING MEADOW",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 KUYKENDAHL RD.",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792614",
            "telephone_number": "832-717-3376",
            "fax_number": "832-717-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "VICKI",
        "middle_name": "LAKWANDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "TX",
            "license": "BP2-0018536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.