ANNETTE CARLISLE M.D. NPI 1376962902

NPI Information

  • NPI: 1376962902
  • Provider Name: ANNETTE CARLISLE, M.D.
  • Classification: Pediatrics - 2080P0201X
  • Specialization: Pediatric Allergy/Immunology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 51 N DUNLAP ST
    MEMPHIS, TN
    ZIP 38105
  • Phone: (901) 287-7337

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NPI Details

Annette Carlisle, M.D. is a pediatric allergy/immunology pediatrics in Memphis, TN. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. Annette Carlisle, M.D. NPI is 1376962902. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

51 N DUNLAP ST
MEMPHIS, TN
ZIP 38105-625
Phone: (901) 287-7337

The NPI 1376962902 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/10/2014 and was last updated on 9/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsE-10471ARKANSASNo
22080P0201XPediatricsPediatric Allergy/Immunology61070TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q043210MEDICAIDTENNESSEE
2220713001MEDICAIDARKANSAS
308808809MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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