Individual provider Active NPI

Carlisa Brown, NP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1386009496
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129979 Issued in TX
Practice address
2425 West Loop S Ste 200
Houston, TX 77027-4208
Phone
(512) 765-7092
Fax
(855) 737-5542
NPI assigned
Dec 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9337306 FL
Family Nurse Practitioner 363LF0000X AP129979 TX Primary

Addresses

Primary practice location

2425 West Loop S Ste 200
Houston, TX 77027-4208

Mailing address

333 Commerce St Ste 700
Nashville, TN 37201-1835
Phone (615) 627-2293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA, VA, MO, OH, NV6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20160513000065 TX Practitioner - Nurse Practitioner 6103115241 Reassigns benefits to 1 organization
I20220315000285 LA Practitioner - Nurse Practitioner 6103115241
I20240329000465 VA Practitioner - Nurse Practitioner 6103115241 Reassigns benefits to 1 organization
I20240329000706 MO Practitioner - Nurse Practitioner 6103115241 Reassigns benefits to 1 organization
I20240423001598 OH Practitioner - Nurse Practitioner 6103115241 Reassigns benefits to 1 organization
I20240610003606 NV Practitioner - Nurse Practitioner 6103115241 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9337306FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carelon Medical Partners of Kansas, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cbrown19847@carelonhealth.direct-ci.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1386009496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COMMERCE ST STE 700",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011835",
            "telephone_number": "615-627-2293",
            "fax_number": "888-494-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 WEST LOOP S STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770274208",
            "telephone_number": "512-765-7092",
            "fax_number": "855-737-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CARLISA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9337306",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.