Carla R. Phelps, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3003903 Issued in KY

Practice address

1102 S Main St Ste 1
London, KY 40741-1529

Phone

(606) 770-5121

Fax

(606) 770-5199

NPI assigned

Aug 13, 2006

Last updated

Dec 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Carla R. Hays Former name

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Practitioner Services PLLC

  dba Tru Healthcare

  • Rural Health Clinic/Center
  • London, KY
  • NPI 1821482118

  Nurse Practitioner

  Medicare reassignment NPD
• Practitioner Services PLLC

  dba Tru Healthcare

  • Rural Health Clinic/Center
  • London, KY
  • NPI 1255292819

  Family

  NPD
• London Women's Care, LLC

  • Obstetrics & Gynecology Physician
  • London, KY
  • NPI 1063454650

  Family

  NPD (past)
• Parkway Pediatrics PSC

  • Pediatrics Physician
  • London, KY
  • NPI 1003875709
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1629080148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430689",
            "telephone_number": "606-864-7337",
            "fax_number": "606-878-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 S MAIN ST STE 1",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411529",
            "telephone_number": "606-770-5121",
            "fax_number": "606-770-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "CARLA",
        "middle_name": "R.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3903P",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3003903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78013547",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "HAYS",
            "middle_name": "R.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Nicole Perry-Jackson, LPCC
• Maryann Perry, APRN, FNP-C
• Whitney N Peyman, DPT
• Melinda Mae Pezzi
• Quehuong H.T. Pham, M.D.
• Phillips Counseling Services
• Cynthia D Phillips, APRN
• Chelsey Blake Philpot, APRN
• Derik Steven Philpot, APSS
• Josie Danielle Philpot, BS, TCADC

• Family Nurse Practitioner in London, KY
• Providers in London, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.