Active NPI
Carlisa Phillips, Aprn-CNP, PLLC
Doing business as Carousel Pediatrics
- Pediatric Nurse Practitioner
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carlisa Jane Phillips, APRN-CNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2296418 | Carlisa Phillips, Aprn-CNP | Certificate of waiver | Dec 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.