Active NPI
Constance Gilbert Honeycutt, DO
- Addiction Medicine (Preventive Medicine) Physician
- Tulsa, OK
National Provider Identifier
1275518045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- License
- 3069
- Practice address
- 5550 S Garnett Rd Ste 200
Tulsa, OK 74146-6830 - Phone
- (918) 665-2501
- Fax
- (918) 665-3966
- NPI assigned
- Dec 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 3069 | OK | |
| Family Medicine Physician | 207Q00000X | 3069 | OK | |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 3069 | OK | |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | 3069 | OK | Primary |
Addresses
Primary practice location
5550 S Garnett Rd Ste 200
Tulsa, OK 74146-6830
Mailing address
5550 S Garnett Rd Ste 200
Tulsa, OK 74146-6830
Phone (918) 665-2501
Other practice location 1
12445 S 87th East Ave
Bixby, OK 74008-2917
Phone (918) 779-5907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100048630F | Medicaid | OK |
Other names 1
- Dr. Connie Honeycutt
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3069 | OK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Medical Center of Tulsa, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1316094063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1275518045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5550 S GARNETT RD STE 200",
"city": "TULSA",
"state": "OK",
"postal_code": "741466830",
"telephone_number": "918-665-2501",
"fax_number": "918-656-3966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5550 S GARNETT RD STE 200",
"city": "TULSA",
"state": "OK",
"postal_code": "741466830",
"telephone_number": "918-665-2501",
"fax_number": "918-665-3966"
}
],
"practiceLocations": [
{
"address_1": "12445 S 87th East Ave",
"address_purpose": "LOCATION",
"city": "Bixby",
"state": "OK",
"postal_code": "740082917",
"country_code": "US",
"telephone_number": "918-779-5907",
"fax_number": "918-943-3314",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HONEYCUTT",
"first_name": "CONSTANCE",
"middle_name": "GILBERT",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "OK",
"license": "3069",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "3069",
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "OK",
"license": "3069",
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "OK",
"license": "3069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100048630F",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CONNIE",
"last_name": "HONEYCUTT",
"prefix": "DR.",
"credential": "DO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.