Individual provider Active NPI

Carlisle Baird, FNP-C

  • Family Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1962117614
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1140000 Issued in TX
Practice address
4007 Call Field Rd Ste E
Wichita Falls, TX 76308-2679
Phone
(940) 264-2625
Fax
(940) 264-6401
NPI assigned
Jan 17, 2023
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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 1140000 TX Primary

Addresses

Primary practice location

4007 Call Field Rd Ste E
Wichita Falls, TX 76308-2679

Mailing address

PO Box 9030
Wichita Falls, TX 76308-9030
Phone (940) 264-2625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240110001943 TX Practitioner - Nurse Practitioner 6305297789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texoma Rheumatology PLLCGroup PAC ID 4789095043, 4 clinicians

Practice addresses (Care Compare)

4007 Call Field Rd
Suite E
Wichita Falls, TX 76308-2679
Phone (940) 264-2625

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1140000TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Associates LLP CurrentSince Nov 7, 2023 Accepting new patients
Texoma Rheumatology PLLC CurrentSince May 13, 2024 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Radiology Associates of Wichita Falls PA PastSince Jan 1, 2023 Accepting new patients

Locations

4007 Call Field Rd
Wichita Falls, TX 76308

4007 Call Field Rd
Ste E
Wichita Falls, TX 76308
Phone (940) 264-2625

4206 Call Field Rd
Wichita Falls, TX 76308
Phone (940) 397-5200

Interoperability endpoints

  • Direct secure messaging: carlibairdnp@txrheum.azalea.phimailbox.com
  • Direct secure messaging: carlisle.baird.1@24478.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24478/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 1

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": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1962117614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9030",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763089030",
            "telephone_number": "940-264-2625",
            "fax_number": "940-264-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 CALL FIELD RD STE E",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082679",
            "telephone_number": "940-264-2625",
            "fax_number": "940-264-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "CARLISLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1140000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.