Active NPI
Lisa C Carlile, CNM
- Advanced Practice Midwife
- Austin, TX
National Provider Identifier
1003081480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 534320
- Practice address
- 12174 N Mopac Expy
Ste. a
Austin, TX 78758-2910 - Phone
- (512) 994-2662
- Fax
- (512) 994-2660
- NPI assigned
- Apr 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 534320 | TX | Primary |
Addresses
Primary practice location
12174 N Mopac Expy
Ste. a
Austin, TX 78758-2910
Mailing address
12174 N Mopac Expy
Ste. a
Austin, TX 78758-2910
Phone (512) 994-2662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 534320 | TX | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425600000000",
"number": "1003081480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12174 N MOPAC EXPY",
"address_2": "STE. A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582910",
"telephone_number": "512-994-2662",
"fax_number": "512-994-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12174 N MOPAC EXPY",
"address_2": "STE. A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582910",
"telephone_number": "512-994-2662",
"fax_number": "512-994-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLILE",
"first_name": "LISA",
"middle_name": "C",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-25",
"last_updated": "2015-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TX",
"license": "534320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.