Individual Healthcare Provider
Carolyn Herbert
Provider's NPPES record last updated: December 30, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1386315778
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Kennett, Missouri
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 4:35 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X Family Medicine
Adult Medicine
Allopathic & Osteopathic Physicians
The NUCC recommends this code not be used. Choose a more appropriate code.
Taxonomy code 207QA0505X
Provider-Reported License Information
- Nurse Practitioner (Missouri)
- 2021038571
- Nurse Practitioner (Tennessee)
- 33060
- Family Medicine (Arkansas)
- 217516
Practice Locations
Practice Location
304 Teaco Rd
Kennett, Missouri 63857-3266
Phone: (573) 888-0001
Additional Practice Location
3444 Plaza Ave
Memphis, Tennessee 38111-4614
Phone: (901) 730-4204
Record Information
- Enumeration Date
- September 24, 2021
- Provider's NPPES Record Last Updated
- December 30, 2025
- Certification Date
- December 30, 2025
- NPISignal NPPES Dataset
- August 2026
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