Carrie Viola Phillips, APRN, FNP

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

AP138600 Issued in TX

Practice address

9478 Homestead LN.
Forney, TX 75126

Phone

(972) 743-1203

Fax

(972) 564-0640

NPI assigned

Jun 13, 2019

Sex

Female

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

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

Merit-based Incentive Payment System (MIPS)

Final score

98.13 of 100Reported as group

Quality

90.84

Improvement activities

40

Cost

77.24

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Ies Central Texas PLLC

  • Emergency Medicine Physician
  • Hillsboro, TX
  • NPI 1003523002
  Medicare reassignment NPD
• Small Hospital Innovations LLC

  • Emergency Medicine Physician
  • Clewiston, FL
  • NPI 1184040560

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1578123402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9478 HOMESTEAD LN.",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "75126",
            "telephone_number": "972-743-1203",
            "fax_number": "972-564-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9478 HOMESTEAD LN.",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "75126",
            "telephone_number": "972-743-1203",
            "fax_number": "972-564-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CARRIE",
        "middle_name": "VIOLA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TX",
            "license": "AP138600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaetano R. Perilli
• Kirsten Marie Perilli, LPC-ASSOCIATE
• Christie Dianne Perkins, RPH
• Personal Pharmacy Consultants, LLC (Jackrabbit Pharmacy)
• Ashley Peters, LMSW
• Henrietta Patricia Pieh, STNA
• Pinnacle Mobile Phlebotomy Service, LLC
• Plainfield Medical Transportation, LLC
• Planet Home Health LLC
• Podiatric Medical Partners of Texas PA (Forney Foot and Ankle Specialist)

• Family Health Clinical Nurse Specialist in Forney, TX
• Providers in Forney, TX by specialty
• Family Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.