Individual provider Active NPI

Wilinda Carlson Dalgleish, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1396089587
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
131574-7062 Issued in LA
Practice address
324 W Hale St
Lake Charles, LA 70601-8439
Phone
(337) 433-9177
Fax
(337) 433-9173
NPI assigned
Nov 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 131574-7062 LA Primary

Addresses

Primary practice location

324 W Hale St
Lake Charles, LA 70601-8439

Mailing address

324 W Hale St
Lake Charles, LA 70601-8439
Phone (337) 433-9177

Other identifiers 1

IdentifierTypeStateIssuer
2342908MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
131574-7062LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Calcasieu Human Services Authority CurrentSince Apr 27, 2014 Accepting new patients
Imperial Calcasieu Human Services Authority Current Accepting new patients
Imperial Calcasieu Human Services Authority CurrentSince Apr 27, 2014 Accepting new patients
Psychiatric Center LLC PastSince Sep 26, 2010 Accepting new patients

Locations

4105 Kirkman St
Lake Charles, LA 70607
Phone (337) 475-3100

145 Hospital Dr
Oakdale, LA 71463
Phone (337) 639-3001

402 Industrial Dr
Oberlin, LA 70655
Phone (337) 639-3000

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1396089587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W HALE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018439",
            "telephone_number": "337-433-9177",
            "fax_number": "337-433-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W HALE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018439",
            "telephone_number": "337-433-9177",
            "fax_number": "337-433-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALGLEISH",
        "first_name": "WILINDA",
        "middle_name": "CARLSON",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-12",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "131574-7062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2342908",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.