Active NPI
Constance Pasternak, NP
- Adult Health Nurse Practitioner
- Greensboro, NC
National Provider Identifier
1396892501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 5005141
- Practice address
- 3803 N Elm St
Greensboro, NC 27455-2593 - Phone
- (828) 450-0528
- Fax
- (336) 540-6156
- NPI assigned
- Jan 3, 2007
- Last updated
- Jun 16, 2011
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 303539 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 5005141 | NC | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 340560 | NY | |
| Registered Nurse | 163W00000X | 478896-1 | NY | |
| Registered Nurse | 163W00000X | 244672 | NC |
Addresses
Primary practice location
3803 N Elm St
Greensboro, NC 27455-2593
Mailing address
9 Homewood Dr
Asheville, NC 28803-1242
Phone (828) 450-0528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02353657 | Medicaid | NY |
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 |
|---|---|---|---|
| 244672 | NC | MD | Registered Nurse |
| 478896-1 | NY | MD | Registered Nurse |
| 303539 | NY | MD | Adult Health Nurse Practitioner |
| 340560 | NY | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Group of Western New York, LLP | Past | Accepting new patients | |
| Mobile Nurse Practitioners | Gerontology | Past | Accepting new patients |
| Mobile Nurse Practitioners | Past | Accepting new patients | |
| Rpci Oncology PC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Homelink Medical Services
- Gerontology Nurse Practitioner
- Williamsville, NY
- NPI 1740219633
-
dba Homelink Medical Services
- Family Nurse Practitioner
- Williamsville, NY
- NPI 1851317903
-
- Pulmonary Disease Physician
- Williamsville, NY
- NPI 1629131180
-
dba Breast Care of Western New York
- Hematology & Oncology Physician
- Williamsville, NY
- NPI 1952703985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308182400000",
"number": "1396892501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 HOMEWOOD DR",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288031242",
"telephone_number": "828-450-0528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3803 N ELM ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552593",
"telephone_number": "828-450-0528",
"fax_number": "336-540-6156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTERNAK",
"first_name": "CONSTANCE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2011-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "303539",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "5005141",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "340560",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "478896-1",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "244672",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02353657",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.