Active NPI
Karen Engdahl Dugan, NP
- Nurse Practitioner
- Rochester, NY
National Provider Identifier
1013014455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F3018501
- Practice address
- 601 Elmwood Ave
Box Med-HMD
Rochester, NY 14621 - Phone
- (585) 273-1636
- Fax
- (585) 276-2212
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F3018501 | NY | Primary |
Addresses
Primary practice location
601 Elmwood Ave
Box Med-HMD
Rochester, NY 14621
Mailing address
470 Clover Hills Dr
Rochester, NY 14618-4714
Phone (585) 273-1636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3018501 | NY | MD | Nurse Practitioner |
Interoperability endpoints
- https://api.platform.athenahealth.com/19784/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/10817/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013014455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 CLOVER HILLS DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146184714",
"telephone_number": "585-273-1636",
"fax_number": "585-276-2212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"address_2": "BOX MED-HMD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14621",
"telephone_number": "585-273-1636",
"fax_number": "585-276-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGAN",
"first_name": "KAREN",
"middle_name": "ENGDAHL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F3018501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.