Registry record
- NPI
- 1104536796
- Profession
- Nurse Practitioner (NP)
- Specialty
- Nurse Practitioner (363L00000X)
- Practice address
- 902 Preskitt Rd Ste 600
Decatur, TX 76234 - Phone
- 9406268073
- In the registry since
- December 5, 2022
- Last NPPES update
- September 4, 2025
- Sole proprietor
- No
- License
- 1158233 (TX)
At this location
One other provider in our data lists 902 Preskitt Rd Ste 600, Decatur as a practice address:
- Kara Marr
Nurse Practitioner · NPI 1811722838
In context
The NPI number of Heatherene Carlisle is 1104536796. They are a Nurse Practitioner in Decatur, Texas.
Heatherene Carlisle is one of 12 Nurse Practitioners in Decatur and one of 6,739 across Texas in our data.
The NPI has been in the federal registry for 3 years, since December 5, 2022.
Frequently asked questions
What is NPI 1104536796?
NPI 1104536796 is the 10-digit National Provider Identifier assigned to Heatherene Carlisle, a Nurse Practitioner practicing in Decatur, Texas. The record has been in the NPPES registry since December 5, 2022.
How do I verify this provider?
Cross-check NPI 1104536796 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license 1158233 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as September 4, 2025. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.