ANNETTE CARLISLE (NPI# 1376962902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376962902 |
| Entity Type | Individual |
| Full Name | ANNETTE CARLISLE |
| Other Name | ANNETTE WILKINS |
| Credential | M.D. |
| Practice Address |
51 N Dunlap St Memphis TN 38105-4625 |
| Mailing Address |
850 Poplar Ave Bldg 2 Memphis TN 38105-4607 |
| Practice Telephone | 9012877337 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | E-10471 | AR | Allopathic & Osteopathic Physicians |
| Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
61070 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q043210 | 05 | |
| AR | 220713001 | 05 | |
| MS | 08808809 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 N Humphreys Blvd, Memphis, TN 381202146 | 9012877337 | |
| 1535 Vann Dr, Jackson, TN 383052095 | 7319849949 | 7312156995 |
| 800 S Church St Ste 104, Jonesboro, AR 724014154 | 8703361778 | 8703661780 |
| Street Address |
51 N DUNLAP ST |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639173446 | Dawn Heather Scott | Pediatrics | 51 N Dunlap St, Ste 410, Memphis, TN 38105-4625 | 2005-06-09 |
| 1730732637 | Megan Leeann Parker | Genetic Counselor, MS | 51 N Dunlap St, 4th Fl, Memphis, TN 38105-2802 | 2019-07-19 |
| 1881254290 | Tara Karr | Dietitian, Registered | 51 N Dunlap St, Memphis, TN 38105-4625 | 2019-06-18 |
| 1912565300 | Ashley Marie Kilpatrick | Dietitian, Registered | 51 N Dunlap St, Memphis, TN 38105-4625 | 2019-05-31 |
| 1811454291 | Cady Danielle Burcham | Nurse Practitioner | 51 N Dunlap St, Memphis, TN 38105-4625 | 2019-02-21 |
| 1154861219 | Ut Medical Group, Inc. | General Acute Care Hospital | 51 N Dunlap St, Neonatal Intensive Care Unit, Memphis, TN 38105-4625 | 2017-03-08 |
| 1669911756 | Jenny R. Strelsin | Nurse Practitioner | 51 N Dunlap St, 2nd Floor, Memphis, TN 38105-4625 | 2017-02-22 |
| 1437608114 | Sarah Carter | Registered Nurse | 51 N Dunlap St, Memphis, TN 38105-4625 | 2016-09-23 |
| 1699221028 | Meredith Canale | Registered Nurse | 51 N Dunlap St, Suite 400, Memphis, TN 38105-4625 | 2016-08-26 |
| 1871955351 | Sharon Hogue | Nurse Practitioner | 51 N Dunlap St, Ste. 400, Memphis, TN 38105-4625 | 2016-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
| Find all providers in zip 38105 | ||||
| Taxonomy Code | 2080P0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Allergy/Immunology |
| A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205179934 | Catherine Hammond | Pediatrics | 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 | 2013-04-01 |
| 1639135361 | Henry G Herrod | Pediatrics | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-04-21 |
| 1518923242 | Dukhee Betty Lew | Pediatrics | 51 N Dunlap St, Suite 400, Memphis, TN 38105-4625 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801988233 | Donna S Hummell | Pediatrics | 719 Thompson Lane, Nashville, TN 37204-8681 | 2006-09-30 |
| 1225161482 | Eva Kathryn Miller | Pediatrics | 2601 Tvc, Nashville, TN 37232-0001 | 2007-03-14 |
| 1538216494 | Allison Norton | Pediatrics | 3601 The Vanderbilt Clinic, Nashville, TN 37232-6013 | 2007-01-04 |
Please comment or provide details below to improve the information on ANNETTE CARLISLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.