Organization Active NPI

Carlisa Phillips, Aprn-CNP, PLLC

Doing business as Carousel Pediatrics

  • Pediatric Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1972371896
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
Legal business name
CARLISA PHILLIPS, APRN-CNP, PLLC
Doing business as
Carousel Pediatrics
Practice address
5906 E 31St St Ste 2
Tulsa, OK 74135-5110
Phone
(918) 851-8424
NPI assigned
Dec 20, 2023
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Carlisa Jane Phillips, APRN-CNPNPI 1679872857
Title
Pediatric Nurse Practitioner
Phone
(918) 851-8424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X Primary

Addresses

Primary practice location

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

Mailing address

5906 E 31St St Ste 2
Tulsa, OK 74135-5110
Phone (918) 851-8424

Other names 1

  • Carousel Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2296418Carlisa Phillips, Aprn-CNP5906 E 31St St, #2, Tulsa, OK 74135Certificate of waiverDec 27, 2027

National Provider Directory

National Provider Directory

Locations

5906 E 31st St
Ste 1
Tulsa, OK 74135
Phone (918) 749-9996

5906 E 31st St
Ste 2
Tulsa, OK 74135
Phone (918) 508-7008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1972371896",
    "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": "918-851-8424"
        },
        {
            "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": "918-851-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLISA PHILLIPS, APRN-CNP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CARLISA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PEDIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "918-851-8424",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carousel Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.