Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolyn Herbert

Individual provider Family Nurse Practitioner · NPI 1386315778

Carolyn Herbert is a Nurse Practitioner in Kennett, Missouri. Qualified in 2020, 6 years ago. Practices with McPherson Medical and Diagnostic LLC, a 85-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas, Missouri and Tennessee.

Years since qualifying
6
Licensed in
AR, MO, TN
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

304 Teaco Rd
Kennett, MO 63857-3266
Phone: (573) 888-0001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3444 Plaza Ave, Memphis, TN 38111-4614 — (901) 730-4204

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2021038571 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 33060 (TN)
Adult Medicine Physician Taxonomy 207QA0505X · Licence 217516 (AR)

Record details

NPI number1386315778
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 24, 2021
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025
Mailing address304 Teaco Rd, Kennett, MO 63857-3266

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice McPherson Medical And Diagnostic Llc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kennett