Individual provider Active NPI

Carolyn Celestine Charles, FNP-C

  • Interventional Pain Medicine Physician
  • Pearland, TX
National Provider Identifier
1124678511
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
143100 Issued in TX
Practice address
1920 Country Place Pkwy Ste 160
Pearland, TX 77584-2283
Phone
(281) 455-0525
Fax
(832) 730-4574
NPI assigned
Sep 17, 2019
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 143100 TX
Interventional Pain Medicine Physician 208VP0014X 143100 TX Primary

Addresses

Primary practice location

1920 Country Place Pkwy Ste 160
Pearland, TX 77584-2283

Mailing address

1920 Country Place Pkwy Ste 160
Pearland, TX 77584-2283
Phone (832) 736-2677

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ckent@txpainandspine.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200129000329 TX Practitioner - Nurse Practitioner 4587090238 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
143100TXMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lance Lafleur, M.D., PLLC CurrentSince Oct 15, 2024 Accepting new patients
Bay City Texas Anesthesiologists, PA PastSince Feb 12, 2023 Accepting new patients

Locations

1920 Country Place Pkwy
#1
Pearland, TX 77584
Phone (832) 736-2677

1920 Country Place Pkwy
Ste 160
Pearland, TX 77584
Phone (832) 736-2677

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1124678511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 COUNTRY PLACE PKWY STE 160",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842283",
            "telephone_number": "832-736-2677",
            "fax_number": "832-730-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 COUNTRY PLACE PKWY STE 160",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842283",
            "telephone_number": "281-455-0525",
            "fax_number": "832-730-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "CAROLYN",
        "middle_name": "CELESTINE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "143100",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "143100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ckent@txpainandspine.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Work",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1920 Country Place Pkwy Ste 160",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775842283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.