Individual provider Active NPI

Lauren Keely Carlisle, M.D.

  • Pediatrics Physician
  • Asheville, NC
National Provider Identifier
1225077423
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2006-00215 Issued in NC
Practice address
40 N Merrimon Ave Ste 117
Asheville, NC 28804-1368
Phone
(828) 348-8232
Fax
(855) 323-6740
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2006-00215 NC Primary

Addresses

Primary practice location

40 N Merrimon Ave Ste 117
Asheville, NC 28804-1368

Mailing address

40 N Merrimon Ave Ste 117
Asheville, NC 28804-1368
Phone (828) 348-8232

Other identifiers 1

IdentifierTypeStateIssuer
1483460MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lauren.carlisle.1@5610.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150328000160 NC Practitioner - Pediatric Medicine 6406173533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2006-00215NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
French Broad Pediatric Associates, PLLC Pediatrics CurrentSince Oct 21, 2014 Accepting new patients
All Kids Pediatrics, P.a. Pediatrics Past Accepting new patients

Locations

40 N Merrimon Ave
Ste 117
Asheville, NC 28804
Phone (828) 348-8232

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5610/brand/1/csg/1/fhir/r4

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1225077423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N MERRIMON AVE STE 117",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288041368",
            "telephone_number": "828-348-8232",
            "fax_number": "855-323-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N MERRIMON AVE STE 117",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288041368",
            "telephone_number": "828-348-8232",
            "fax_number": "855-323-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "LAUREN",
        "middle_name": "KEELY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2006-00215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1483460",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren.carlisle.1@5610.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "40 N Merrimon Ave Ste 117",
            "city": "Asheville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "288041368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.