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CAROL RUTH STAUGAARD APRN NPI 1962485425


NPI Information

NPI: 1962485425
Provider Name: CAROL RUTH STAUGAARD, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
800 HOWARD AVE
YALE PHYSICIANS' BUILDING, 2ND FL
NEW HAVEN, CT
ZIP 06519
Phone: (203) 688-4191
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Carol Ruth Staugaard, APRN is an adult health nurse practitioner in New Haven, CT with 33 years of experience. Carol Ruth Staugaard, APRN NPI is 1962485425. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year:1991

The provider's business location address is:

800 HOWARD AVE
YALE PHYSICIANS' BUILDING, 2ND FL
NEW HAVEN, CT
ZIP 06519-369
Phone: (203) 688-4191
Fax: (203) 737-3456

The NPI 1962485425 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/29/2005 and was last updated on 10/17/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1364SM0705XClinical Nurse SpecialistMedical-Surgical002736CONNECTICUTNo
2363LA2200XNurse PractitionerAdult Health002736CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P83163MEDICARE UPIN
2004229094MEDICAIDCONNECTICUT
3500001019MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.