Carlisa Jane Phillips, APRN-CNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

64636 Issued in OK

Practice address

5906 E 31St St Ste 2
Tulsa, OK 74135-5110

Phone

(918) 764-8234

Fax

(918) 782-9975

NPI assigned

Mar 27, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

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.

• Carlisa Phillips, Aprn-CNP, PLLC

  • Pediatric Nurse Practitioner
  • Tulsa, OK
  • NPI 1972371896

  Pediatrics

  NPD Authorized official
• Grow Well Health LLC

  • Developmental - Behavioral Pediatrics Physician
  • Tulsa, OK
  • NPI 1598512709
  NPD (past)
• Indian Health Care Resource Center

  • Clinic/Center
  • Tulsa, OK
  • NPI 1427034958
  NPD (past)
• Indian Health Care Resource Center of Tulsa, Inc.

  • Pharmacy
  • Tulsa, OK
  • NPI 1457447609
  NPD (past)

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

{
    "created_epoch": "1301184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1679872857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 E 31ST ST STE 2",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355110",
            "telephone_number": "918-764-8234",
            "fax_number": "918-782-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 E 31ST ST STE 2",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355110",
            "telephone_number": "918-764-8234",
            "fax_number": "918-782-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CARLISA",
        "middle_name": "JANE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-27",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OK",
            "license": "64636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200335850A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Phillippe, MD
• Amy Louise Phillips, OTRL
• April Phillips
• Caitlyn Phillips
• Candice Rae Phillips
• Chad Phillips, M.D.
• Chance Leroy Phillips, NP-C
• Chasidy Randel Phillips
• Christina Phillips, PHARM.D.
• Christina Phillips

• Pediatric Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pediatric Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.