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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MODERN ROOTS HEALTHCARE,PLLC
NPI 1619880408
Clinic/Center - Primary Care in Upton, KY

Active since September 23, 2026CLIA 18D2342841 · Waiver
1140 WABASH RD, UPTON, KY 42784(270) 766-7676(270) 246-9774 Get Directions Write a Review

NPPES record added: September 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Modern Roots Healthcare,pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERN ROOTS HEALTHCARE,PLLC (NPI 1619880408) is a healthcare organization registered as a primary care in Upton, Kentucky and active in the NPI registry since September 2026. The organization holds a CLIA Waiver certificate valid through April 27, 2028 and lists Abby Carter, Owner, as its authorized official.

NPPES Registry Identity

NPI1619880408
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMODERN ROOTS HEALTHCARE,PLLC
Location Address1140 WABASH RDUpton, KY 42784-9222
Mailing Address1140 Wabash RdUpton, KY 42784-9222 · (270) 766-7676 · Fax (270) 246-9774
Phone(270) 766-7676
Fax(270) 246-9774
Organization SubpartNo
Authorized OfficialAbby CarterOwner · (270) 766-7676
Enumeration DateSeptember 23, 2026
NPPES CertifiedSeptember 23, 2026
✔ NPI 1619880408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1140 WABASH RD, Upton, KY 42784
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2342841

Modern Roots Healthcare · Upton, KY
Active · expires Apr 27, 2028
CLIA Number18D2342841
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2026
Certificate Expiration DateApril 27, 2028
Laboratory DirectorMs. Abby Carter
Laboratory Phone(270) 766-7676
Laboratory LocationModern Roots Healthcare1140 Wabash Rd, Upton, KY 42784
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABBY CARTER
Nurse Practitioner (Family)
1140 WABASH RD
UPTON, KY 42784
Hardin County (270) 766-7676
MODERN ROOTS HEALTHCARE, PLLC
Clinic/Center (Primary Care)
1140 WABASH RD
UPTON, KY 42784
Hardin County (270) 766-7676

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modern Roots Healthcare,pllc's NPI number?

The NPI number for Modern Roots Healthcare,pllc is 1619880408. It was assigned to this organization in the NPPES registry on September 23, 2026.

Where is Modern Roots Healthcare,pllc located?

Modern Roots Healthcare,pllc is located at 1140 Wabash Rd, Upton, KY 42784. The listed phone number is (270) 766-7676.

What is Modern Roots Healthcare,pllc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Modern Roots Healthcare,pllc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2342841) is associated with this NPI, valid through April 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Modern Roots Healthcare,pllc was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.