Carolyn Lee Dacres, RXS, CNS

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

77057 Issued in CO

Practice address

4155 E Jewell Ave Ste 225
Denver, CO 80222-4506

Phone

(720) 290-7895

Fax

(888) 692-9168

NPI assigned

Oct 17, 2006

Last updated

Sep 19, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolyn Dacres, RXS, LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Denver, CO
  • NPI 1396026407
  NPD (past) Authorized official
• Portercare Adventist Health System

  dba Adventhealth Porter

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1801800594
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1144300781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 E JEWELL AVE STE 225",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224506",
            "telephone_number": "720-290-7895",
            "fax_number": "888-692-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 E JEWELL AVE STE 225",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224506",
            "telephone_number": "720-290-7895",
            "fax_number": "888-692-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACRES",
        "first_name": "CAROLYN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "RXS, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "CO",
            "license": "77057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dabolina Corp (Aria Integrative Health)
• Dabolina Corp (Aria Integrative Health)
• Livia Dabrowski
• Mark S Dacey, MD
• Lissa Dacoscos, ACNP
• Nina Zavareh Dadabhoy
• Nicole Deanne Daddio, OTR/L
• Carly Daehnick
• Elizabeth Daeninck
• Javon Lasea Daffeh

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Denver, CO
• Providers in Denver, CO by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.