Individual provider Active NPI

Irene Kay Walters, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Dayville, CT
National Provider Identifier
1851682736
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7567 Issued in CT
Practice address
11 Dog Hill Rd
Dayville, CT 06241-2106
Phone
(860) 779-0321
NPI assigned
Apr 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 100280 MT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201907687NP-PP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7567 CT Primary

Addresses

Primary practice location

11 Dog Hill Rd
Dayville, CT 06241-2106

Mailing address

11 Dog Hill Rd
Dayville, CT 06241-2106
Phone (860) 779-0321

Other practice location 1

316 N 3rd St
Hamilton, MT 59840-2480
Phone (406) 541-0032

Other identifiers 1

IdentifierTypeStateIssuer
1851682736MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180618000792 CT Practitioner - Nurse Practitioner 6709063480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natchaug Hospital, IncGroup PAC ID 5395648737, 34 clinicians

Practice addresses (Care Compare)

189 Storrs Rd
Mansfield Center, CT 06250-1683
Phone (860) 456-1311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7567CTMDPhysical Therapist
100280MTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bhcare, Inc. CurrentSince May 14, 2018 Accepting new patients
Natchaug Hospital, Inc. CurrentSince Jun 1, 2019 Accepting new patients

Locations

435 E Main St
Ansonia, CT 06401
Phone (203) 736-2601

11 Dog Hill Rd
Dayville, CT 06241
Phone 8607790321 ext. 231

189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311

127 Washington Ave
Ste 3W
North Haven, CT 06473

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/BHcare/r4/

Organizations & group practices 2

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": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1851682736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DOG HILL RD",
            "city": "DAYVILLE",
            "state": "CT",
            "postal_code": "062412106",
            "telephone_number": "860-779-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 DOG HILL RD",
            "city": "DAYVILLE",
            "state": "CT",
            "postal_code": "062412106",
            "telephone_number": "860-779-0321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "MT",
            "postal_code": "598402480",
            "country_code": "US",
            "telephone_number": "406-541-0032",
            "fax_number": "406-541-0037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "IRENE",
        "middle_name": "KAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "100280",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201907687NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "7567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851682736",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayville, CT

Sources for this page

Verify at the official NPI Registry.