Individual provider Active NPI

Carla L Sanders, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1790941532
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3005709 Issued in KY
Practice address
2132 Sallee Dr
Lexington, KY 40513-1205
Phone
(859) 396-0584
Fax
(804) 780-0862
NPI assigned
Jul 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024180555 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3005709 KY Primary

Addresses

Primary practice location

2132 Sallee Dr
Lexington, KY 40513-1205

Mailing address

2132 Sallee Dr
Lexington, KY 40513-1205
Phone (859) 396-0584

Other identifiers 1

IdentifierTypeStateIssuer
7100063850MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081103000014 KY Practitioner - Nurse Practitioner 9436218708 Reassigns benefits to 1 organization
I20221028002193 VA Practitioner - Nurse Practitioner 9436218708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kentucky College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of ChesapeakeGroup PAC ID 6204885601, 24 clinicians
Vernon J Harris East End Community Health CenterGroup PAC ID 9638064850, 19 clinicians

Practice addresses (Care Compare)

224 Great Bridge Blvd
Chesapeake, VA 23320-3904
Phone (757) 547-9334

719 N 25TH St
Richmond, VA 23223-6539
Phone (804) 780-0840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3005709KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Chesapeake CurrentSince Dec 14, 2025 Accepting new patients
City of Chesapeake CurrentSince Dec 14, 2025 Accepting new patients
PPL Therapeutic Services PLLC Nurse Practitioner CurrentSince Jun 9, 2020 Accepting new patients
Vernon J Harris East End Community Health Center Current Accepting new patients
Vernon J Harris East End Community Health Center CurrentSince Dec 2, 2024 Accepting new patients
Vernon J Harris East End Community Health Center CurrentSince Dec 2, 2024 Accepting new patients
Pathways, Inc Past Accepting new patients
Pathways Inc Past Accepting new patients

Locations

50 Shepherd Ln
Bedford, KY 40006
Phone (502) 255-3244

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

50 Adams St
New Castle, KY 40050
Phone (502) 845-2861

224 Great Bridge Blvd
Chesapeake, VA 23320
Phone (757) 547-9334

2809 North Ave
Ste 206
Richmond, VA 23222
Phone (804) 525-1818

719 N 25th St
Richmond, VA 23223
Phone (804) 253-1969

2809 North Ave
Richmond, VA 23222
Phone (804) 321-2403

2025 E Main St
Ste 105
Richmond, VA 23223
Phone (804) 253-1968

5855 Bremo Rd
Richmond, VA 23226
Phone (804) 287-7066

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJBDAA

Organizations & group practices 8

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": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1790941532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 SALLEE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131205",
            "telephone_number": "859-396-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 SALLEE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131205",
            "telephone_number": "859-396-0584",
            "fax_number": "804-780-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "CARLA",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024180555",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3005709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100063850",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.