Skye Carlisle, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

903508 Issued in MS

Practice address

1120 E Main St Ste 24
Philadelphia, MS 39350-2300

Phone

(601) 781-8677

Fax

(601) 781-8677

NPI assigned

Aug 20, 2019

Last updated

Aug 20, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Region IV Mental Health ServicesGroup PAC ID 4688733991, 7 clinicians

Practice addresses (Care Compare)

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

• Region IV Mental Health Services

  dba Timber Hills Mental Health

  • Community/Behavioral Health Agency
  • Booneville, MS
  • NPI 1699869537
  Medicare reassignment Care Compare group NPD
• Intouch Psychological Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, MS
  • NPI 1649629304
  NPD
• Region IV Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Booneville, MS
  • NPI 1487984407
  NPD
• Region IV Mental Health Services

  • Community/Retail Pharmacy
  • Hernando, MS
  • NPI 1689915423
  NPD

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1679120190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E MAIN ST STE 24",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502300",
            "telephone_number": "601-781-8677",
            "fax_number": "601-781-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E MAIN ST STE 24",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502300",
            "telephone_number": "601-781-8677",
            "fax_number": "601-781-8677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8613 MS Highway 12",
            "address_purpose": "LOCATION",
            "city": "Ackerman",
            "state": "MS",
            "postal_code": "397358917",
            "country_code": "US",
            "telephone_number": "601-781-8677",
            "fax_number": "601-676-0550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9431 Eastside Drive Ext Ste B",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MS",
            "postal_code": "393458074",
            "country_code": "US",
            "telephone_number": "601-781-8677",
            "fax_number": "601-676-0550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2502 9th St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014939",
            "country_code": "US",
            "telephone_number": "601-512-0927",
            "fax_number": "601-676-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "SKYE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "903508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marley Burns
• Gwendolyn Denise Burnside, FNP-C
• Sierra Cain, NP-C
• George B. Campbell, D.O.
• Heather Cannon, M.D.
• Kajol Ben Champaneri, PHARMD
• Charles E Atkins, Jr DMD
• Chris Cheatham
• Melissa Gray Clark, R. P. T.
• Jordan Clearman

• Psychiatric/Mental Health Nurse Practitioner in Philadelphia, MS
• Providers in Philadelphia, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.