Organization Active NPI

Constitutional Health LLC

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1134816853
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CONSTITUTIONAL HEALTH LLC
Practice address
875 N Greenfield Rd Ste 111
Gilbert, AZ 85234-5044
Phone
(480) 628-3760
NPI assigned
Apr 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Amanda KeilNPI 1851023691
Title
FNP-C
Phone
(480) 628-3760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

875 N Greenfield Rd Ste 111
Gilbert, AZ 85234-5044

Mailing address

18829 E Indiana Ave
Queen Creek, AZ 85142-4554
Phone (480) 628-3760

Other names 1

  • Constitutional Health LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1134816853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18829 E INDIANA AVE",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851424554",
            "telephone_number": "480-628-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N GREENFIELD RD STE 111",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345044",
            "telephone_number": "480-628-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTITUTIONAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "KEIL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "480-628-3760"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Constitutional Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.