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

MODERN ROOTS HEALTHCARE, PLLC
NPI 1639082969
Nurse Practitioner - Family in Upton, KY

Active since September 26, 2026
1140 WABASH RD, UPTON, KY 42784(270) 766-7676 Get Directions Write a Review

NPPES record added: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 6, 2026, Sep 26, 2026 (2 updates tracked since 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 1639082969) is a healthcare organization registered as a family in Upton, Kentucky and active in the NPI registry since September 2026. The organization lists Abby Carter, Owner/ Aprn, as its authorized official.

NPPES Registry Identity

NPI1639082969
Entity TypeOrganization
Primary Taxonomy363LF0000X
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
Organization SubpartNo
Authorized OfficialAbby CarterOwner/ Aprn · (270) 766-7676
Enumeration DateSeptember 26, 2026
Last NPPES UpdateNovember 6, 20262 updates tracked since enumeration
NPPES CertifiedNovember 6, 2026
✔ NPI 1639082969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1140 WABASH RD, Upton, KY 42784

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Nurse Practitioner (Family)
1140 WABASH RD
UPTON, KY 42784
Clinic/Center (Primary Care)
1140 WABASH RD
UPTON, KY 42784

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 1639082969. It was assigned to this organization in the NPPES registry on September 26, 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 Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Modern Roots Healthcare, PLLC was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.