Active NPI
Paula Ione Dahlen, F-NP
- Family Nurse Practitioner
- Hayden Lake, ID
National Provider Identifier
1295787331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 646
- Practice address
- 9334 N Kayla CT
Hayden Lake, ID 83835-8239 - Phone
- (208) 772-8553
- NPI assigned
- May 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 646 | ID | Primary |
| Physician Assistant | 363A00000X | PA191 | ID |
Addresses
Primary practice location
9334 N Kayla CT
Hayden Lake, ID 83835-8239
Mailing address
9334 N Kayla CT
Hayden, ID 83835-8239
Phone (208) 915-0299
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
- Nurse Practitioner, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA191 | ID | MD | Physician Assistant |
| 646 | ID | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1295787331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9334 N KAYLA CT",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838358239",
"telephone_number": "208-915-0299",
"fax_number": "208-625-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9334 N KAYLA CT",
"city": "HAYDEN LAKE",
"state": "ID",
"postal_code": "838358239",
"telephone_number": "208-772-8553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHLEN",
"first_name": "PAULA",
"middle_name": "IONE",
"credential": "F-NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "646",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA191",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayden Lake, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.