Active NPI
Modern Roots Healthcare, PLLC
- Primary Care Clinic/Center
- Upton, KY
National Provider Identifier
1639082969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MODERN ROOTS HEALTHCARE, PLLC
- Practice address
- 1140 Wabash Rd
Upton, KY 42784-9222 - Phone
- (270) 766-7676
- NPI assigned
- Sep 26, 2026
- Last updated
- Sep 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Abby Carter, APRN
- Title
- Owner/ Aprn
- Phone
- (270) 766-7676
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
1140 Wabash Rd
Upton, KY 42784-9222
Mailing address
1140 Wabash Rd
Upton, KY 42784-9222
Phone (270) 766-7676
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Upton, KY
- NPI 1508425844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790380800000",
"number": "1639082969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 WABASH RD",
"city": "UPTON",
"state": "KY",
"postal_code": "427849222",
"telephone_number": "270-766-7676",
"fax_number": "270-246-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 WABASH RD",
"city": "UPTON",
"state": "KY",
"postal_code": "427849222",
"telephone_number": "270-766-7676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODERN ROOTS HEALTHCARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-26",
"last_updated": "2026-09-26",
"certification_date": "2026-09-23",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "ABBY",
"authorized_official_title_or_position": "OWNER/ APRN",
"authorized_official_telephone_number": "270-766-7676",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.