Individual provider Active NPI

Karen Jane Dahlgard, MSN, C.S., AP.R.N

  • Psychiatric/Mental Health Nurse Practitioner
  • Orange, CT
National Provider Identifier
1679699136
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
000918 Issued in CT
Practice address
832 Tall Timber Rd
Orange, CT 06477
Phone
(203) 387-8425
Fax
(203) 392-3564
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 000918 CT Primary
Registered Nurse 163W00000X E33853 CT

Addresses

Primary practice location

832 Tall Timber Rd
Orange, CT 06477

Mailing address

832 Tall Timber Rd
Orange, CT 06477
Phone (203) 387-8425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160222000976 CT Practitioner - Certified Clinical Nurse Specialist (CNS) 3274838776 Practice locations: Lewisburg, WV
I20230629001278 WV Practitioner - Certified Clinical Nurse Specialist (CNS) 3274838776 Practice locations: Lewisburg, WV

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Yale University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

346 Highland Cir
Lewisburg, WV 24901-2825
Phone (203) 640-4184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
918CTMDClinical Psychologist
E33853CTMDRegistered Nurse
000918CTMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1679699136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 TALL TIMBER RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "06477",
            "telephone_number": "203-387-8425",
            "fax_number": "203-392-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 TALL TIMBER RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "06477",
            "telephone_number": "203-387-8425",
            "fax_number": "203-392-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLGARD",
        "first_name": "KAREN",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MSN,  C.S., AP.R.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "000918",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "E33853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

Verify at the official NPI Registry.