Caren Kalisch, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

10-78150 Issued in CT

Practice address

12 Glenville St
Unit 106
Greenwich, CT 06831

Phone

(203) 869-3022

NPI assigned

Dec 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1619573847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GLENVILLE ST",
            "address_2": "UNIT 106",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "06831",
            "telephone_number": "203-869-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 GLENVILLE ST",
            "address_2": "UNIT 106",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "06831",
            "telephone_number": "203-869-3022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Glenville St",
            "address_2": "Unit 106",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "06831",
            "country_code": "US",
            "telephone_number": "203-869-3022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALISCH",
        "first_name": "CAREN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "548731-01",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "10-78150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleena Justiniano, DPT
• Lara Kahan
• Miriam Gail Kahn
• Katie Lynn Kajtor, FNP-BC, NP-C
• Gary Kalan, M.D.
• Gloria Kalled
• Tatyana Kalyuzhny, PT
• Heather Kamen, MS
• Masahide D Kanayama, M.D.
• Michael Kandchorov, PHARMD

• Registered Nurse in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Registered Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.