Individual provider Active NPI

Christine Louise Constable, MSN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Manhattan Beach, CA
National Provider Identifier
1023455946
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
95001407 Issued in CA
Practice address
1805 Wendy Way
Manhattan Beach, CA 90266-4140
Phone
(310) 487-7002
NPI assigned
Jun 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 557566 CA
Women's Health Nurse Practitioner 363LW0102X 95001407 CA Primary

Addresses

Primary practice location

1805 Wendy Way
Manhattan Beach, CA 90266-4140

Mailing address

1805 Wendy Way
Manhattan Beach, CA 90266-4140
Phone (310) 487-7002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
557566CAMDRegistered Nurse First Assistant
95001407CAMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1370044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1023455946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 WENDY WAY",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664140",
            "telephone_number": "310-487-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 WENDY WAY",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664140",
            "telephone_number": "310-487-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTABLE",
        "first_name": "CHRISTINE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MSN, WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-01",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "557566",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95001407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.