Individual provider Active NPI

Carlene McAllister, FNP

  • Family Nurse Practitioner
  • Collierville, TN
National Provider Identifier
1659059798
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36915 Issued in TN
Practice address
1458 W Poplar Ave Ste 200
Collierville, TN 38017-0631
Phone
(901) 472-2935
Fax
(901) 432-2439
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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 906088 MS
Family Nurse Practitioner 363LF0000X 36915 TN Primary

Addresses

Primary practice location

1458 W Poplar Ave Ste 200
Collierville, TN 38017-0631

Mailing address

PO Box 1089
Hammond, LA 70404-1089
Phone (985) 892-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, AR3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240618001352 MS Practitioner - Nurse Practitioner 8325581440 Reassigns benefits to 2 organizations
I20241112004011 TN Practitioner - Nurse Practitioner 8325581440 Reassigns benefits to 1 organization
I20260527002798 AR Practitioner - Nurse Practitioner 8325581440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Care Associates LLCGroup PAC ID 0840314548, 117 clinicians

Practice addresses (Care Compare)

West Memphis, AR 72301
Phone (985) 892-7070

1458 W Poplar Ave
Suite 200
Collierville, TN 38017-0631
Phone (985) 892-7070

401 Southcrest Cir
Southaven, MS 38671-6726
Phone (985) 892-7070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36915TNMDPsychiatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Associates LLC CurrentSince Mar 3, 2025 Accepting new patients
Desoto Family Care Clinic, PLLC CurrentSince Dec 23, 2023 Accepting new patients
Collierville Orthopedics and PastSince Jan 26, 2025 Accepting new patients

Locations

200 S Rhodes St
Ste E
West Memphis, AR 72301
Phone (870) 629-5095

16065 Lamonte Dr
Hammond, LA 70403
Phone (985) 956-7771

431 W Race St
Rolling Fork, MS 39159
Phone (662) 795-0440

401 Southcrest Cir
Ste 212
Southaven, MS 38671
Phone (662) 245-5270

346 Stateline Rd W
Southaven, MS 38671
Phone (662) 313-5417

2028 W Poplar Ave
Ste 115
Collierville, TN 38017
Phone (901) 221-8983

1458 W Poplar Ave
Ste 200
Collierville, TN 38017
Phone (901) 472-2935

141 N McLean Blvd
Memphis, TN 38104
Phone (901) 276-2020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2699/brand/1/csg/1/fhir/r4

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1659059798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041089",
            "telephone_number": "985-892-7070",
            "fax_number": "985-892-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1458 W POPLAR AVE STE 200",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380170631",
            "telephone_number": "901-472-2935",
            "fax_number": "901-432-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "CARLENE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906088",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

Verify at the official NPI Registry.