NPIMap

Organization Active NPI

Carl Phillips NP Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1033719356
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CARL PHILLIPS NP SERVICES
Practice address
109 Yorktown Dr Ste a
Alexandria, LA 71303-3673
Phone
(318) 542-4288
NPI assigned
Oct 27, 2020
Last updated
Oct 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carl Douglas PhillipsNPI 1679853477
Title
Owner
Phone
(318) 542-4288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

109 Yorktown Dr Ste a
Alexandria, LA 71303-3673

Mailing address

109 Yorktown Dr Ste a
Alexandria, LA 71303-3673
Phone (318) 704-0796

National Provider Directory

National Provider Directory

Locations

814 Main St
Franklin, LA 70538

Practitioners & affiliated clinicians

Practitioners 124

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 124

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1033719356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 YORKTOWN DR STE A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033673",
            "telephone_number": "318-704-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 YORKTOWN DR STE A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033673",
            "telephone_number": "318-542-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL PHILLIPS NP SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-542-4288"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.