Individual provider Active NPI

Carlisha Marie Whitlow, DNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1629346481
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000016237 Issued in TN
Practice address
681 S White Station Rd Ste 111
Memphis, TN 38117-4563
Phone
(901) 276-3222
Fax
(901) 276-1398
NPI assigned
Dec 8, 2011
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0000016237 TN Primary

Addresses

Primary practice location

681 S White Station Rd Ste 111
Memphis, TN 38117-4563

Mailing address

8110 N Brother Blvd Ste 200
Bartlett, TN 38133-2760
Phone (901) 255-5221

Other names 1

  • Carlisha Holmes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20120223000545 TN Practitioner - Nurse Practitioner 1254599152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Planned Parenthood Greater Memphis RegionGroup PAC ID 4284858671, 4 clinicians

Practice addresses (Care Compare)

2430 Poplar Ave
Suite 100
Memphis, TN 38112-3246
Phone (901) 725-1717

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.6 of 100Reported as group
Quality
92.14
Promoting interoperability
100
Improvement activities
40
Cost
76.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16237TNMDPhysical Therapist
0000016237TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rentrop & Geater PLLC Family Current Accepting new patients
Memphis Obstetrics and Gynecological Association PC CurrentSince Apr 1, 2017 Accepting new patients
Womens Health Specialists, PLLC Current Accepting new patients
Planned Parenthood Greater Memphis Region CurrentSince Jan 3, 2023 Accepting new patients
Planned Parenthood Greater Memphis Region PastSince Jan 3, 2023 Accepting new patients

Locations

7705 Poplar Ave
Ste 110
Germantown, TN 38138
Phone (901) 272-6051

2245 S Lauderdale St
Memphis, TN 38106
Phone (901) 256-9007

2430 Poplar Ave
#100
Memphis, TN 38112
Phone (901) 725-1717

3775 Covington Pike
Memphis, TN 38135
Phone (901) 373-8949

6215 Humphreys Blvd
Ste 401
Memphis, TN 38120
Phone (901) 682-9222

681 S White Station Rd
Ste 111
Memphis, TN 38117
Phone (901) 276-3222

Interoperability endpoints

  • Direct secure messaging: carlisha.whitlow.1@16415.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16415/brand/2/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1629346481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 N BROTHER BLVD STE 200",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332760",
            "telephone_number": "901-255-5221",
            "fax_number": "901-373-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 S WHITE STATION RD STE 111",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174563",
            "telephone_number": "901-276-3222",
            "fax_number": "901-276-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOW",
        "first_name": "CARLISHA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000016237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLISHA",
            "last_name": "HOLMES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.