Active NPI
Constance L Gable, ARNP
- Nurse Practitioner
- Buena Vista, CO
National Provider Identifier
1154319507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP5090
- Practice address
- 28374 County Road 317
Buena Vista, CO 81211-9158 - Phone
- (719) 530-2048
- Fax
- (719) 530-2055
- NPI assigned
- Oct 10, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP5090 | CO | Primary |
Addresses
Primary practice location
28374 County Road 317
Buena Vista, CO 81211-9158
Mailing address
550 W Hwy 50
Salida, CO 81201-2238
Phone (719) 530-2048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23552352 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP5090 | CO | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434499200000",
"number": "1154319507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 W HWY 50",
"city": "SALIDA",
"state": "CO",
"postal_code": "812012238",
"telephone_number": "719-530-2048",
"fax_number": "719-530-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28374 COUNTY ROAD 317",
"city": "BUENA VISTA",
"state": "CO",
"postal_code": "812119158",
"telephone_number": "719-530-2048",
"fax_number": "719-530-2055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABLE",
"first_name": "CONSTANCE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-10",
"last_updated": "2015-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "NP5090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "23552352",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buena Vista, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.