Individual provider Active NPI

Constance Gilbert Honeycutt, DO

  • Addiction Medicine (Preventive Medicine) Physician
  • Tulsa, OK
National Provider Identifier
1275518045
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
3069 Issued in OK
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

Updated by the provider on May 19, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100048630FMedicaidOK

Other names 1

  • Dr. Connie Honeycutt Other name

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

LicenseStateTypeSpecialty
3069OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.