Active NPI 1679872857 Individual Practitioner Female Practitioner

Carlisa Jane Phillips , APRN-CNP

Nurse Practitioner - Pediatrics • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Carlisa Phillips, APRN-CNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Tulsa, OK. Practice services are available at 5906 E 31ST ST STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5906 E 31st St Ste 2

Tulsa, OK 741355110

Telephone 9187648234

Fax 9187829975

Associated Practice Facility / Clinic

🏢 Carlisa Phillips, Aprn-Cnp, Pllc Facility NPI 1972371896

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Tulsa, OK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.0 Yrs

State Avg: 12.0 Yrs

Regional Practice Density

31 Specialists

Practicing in Tulsa, OK (182 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-14

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OK 64636

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200335850A (OK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Lacy Penrod , APRN-CNP

Nurse Practitioner - Primary Care

NPI 1750975041

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location April 14, 2026

Registered at 5906 E 31ST ST STE 2, TULSA, OK 741355110 (Tel: 9187648234)

📍

Updated Business Mailing Address April 14, 2026

Registered at 5906 E 31ST ST STE 2, TULSA, OK 741355110 (Tel: 9187648234)

📍

Updated Practice Location September 16, 2022

Registered at 5840 S MEMORIAL DR STE 301, TULSA, OK 741459082 (Tel: 9186994250)

📍

Updated Business Mailing Address September 16, 2022

Registered at 5840 S MEMORIAL DR STE 301, TULSA, OK 741459082 (Tel: 9186994250)

👤

Provider Name / Credentials Updated September 16, 2022

Recorded as CARLISA PHILLIPS, APRN-CNP

✅

NPI Profile Active June 14, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 14, 2013

Registered at 550 S PEORIA AVE, TULSA, OK 741203820 (Tel: 9185881900)

📍

Updated Business Mailing Address June 14, 2013

Registered at 550 S PEORIA AVE, TULSA, OK 741203820 (Tel: 9185881900)

👤

Provider Name / Credentials Updated June 14, 2013

Recorded as CARLISA PHILLIPS, ARNP-CNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2013

Nurse Practitioner (License #64636 in OK)

🟢

Initial NPI Registration & Enumeration March 27, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679872857

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 27, 2011

Last Update: April 14, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5906 E 31st St Ste 2

Tulsa, OK 741355110

Phone: 9187648234

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.