Phillip Randall Carr, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

1000662 Issued in TX

Practice address

112 Golden Oaks Dr
Georgetown, TX 78628-3318

Phone

(512) 963-9168

NPI assigned

May 11, 2026

Last updated

May 11, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1215865365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 JUNIPER BERRY TRL",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786334705",
            "telephone_number": "512-963-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 GOLDEN OAKS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283318",
            "telephone_number": "512-963-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "PHILLIP",
        "middle_name": "RANDALL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "TX",
            "license": "1000662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Caro-Mata, MPT
• Nelda Jean Carpenter, LCSW
• Marisol Carpio-Solis, M.D.
• Brian W. Carr, PT
• Kailah Carr
• Kenia Carrillos
• Catherine Carrizales-Pintor, FNP
• Julie Kristen Carson-Walker, PTA
• Marelaine Rene Carter
• Michelle Carter

• Adult Psychiatric/Mental Health Registered Nurse in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.