Individual provider Active NPI

Kace L Calan, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Nacogdoches, TX
National Provider Identifier
1063097988
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201051 Issued in OK
Practice address
3618 N University Dr
Nacogdoches, TX 75965-2539
Phone
(936) 205-9922
Fax
(936) 205-9923
NPI assigned
Mar 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201051 OK Primary

Addresses

Primary practice location

3618 N University Dr
Nacogdoches, TX 75965-2539

Mailing address

3618 N University Dr
Nacogdoches, TX 75965-2539
Phone (936) 205-9922

Other identifiers 4

IdentifierTypeStateIssuer
40932OtherTXTEXAS APRN-CNP PRESCRIPTIVE AUTHORITY
1055482OtherTXTEXAS APRN-CNP LICENSE/CERTIFICATE
F01210577OtherAANP CERTIFICATION
201051OtherOKOKLAHOMA APRN-CNP LICENSE/CERTIFICATE

Other names 1

  • Kace L Dugan Former name

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kace.calan@19934613536772.direct.elationemr.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1063097988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652539",
            "telephone_number": "936-205-9922",
            "fax_number": "936-205-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652539",
            "telephone_number": "936-205-9922",
            "fax_number": "936-205-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALAN",
        "first_name": "KACE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "201051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS APRN-CNP PRESCRIPTIVE AUTHORITY",
            "identifier": "40932",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS APRN-CNP LICENSE/CERTIFICATE",
            "identifier": "1055482",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP CERTIFICATION",
            "identifier": "F01210577",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA APRN-CNP LICENSE/CERTIFICATE",
            "identifier": "201051",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KACE",
            "last_name": "DUGAN",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.