Organization Active NPI

Constance Health and Wellness

  • Health Service Clinic/Center
  • Daytona Beach, FL
National Provider Identifier
1427836220
Registry record updated Jan 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CONSTANCE HEALTH AND WELLNESS
Practice address
102 S Peninsula Dr Apt 108
Daytona Beach, FL 32118-4462
Phone
(386) 348-1158
NPI assigned
Sep 21, 2023
Last updated
Jan 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2024

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

Authorized official

Name
Crystal I Christian, APRNNPI 1851878136
Title
Owner/ Nurse Practitioner
Phone
(386) 348-1158

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary
Nurse Practitioner 363L00000X NU
Non-Pharmacy Dispensing Site 332900000X NU

Addresses

Primary practice location

102 S Peninsula Dr Apt 108
Daytona Beach, FL 32118-4462

Mailing address

102 S Peninsula Dr Apt 108
Daytona Beach, FL 32118-4462

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705104000000",
    "number": "1427836220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S PENINSULA DR APT 108",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S PENINSULA DR APT 108",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184462",
            "telephone_number": "386-348-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANCE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2024-01-13",
        "certification_date": "2024-01-13",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER/ NURSE PRACTITIONER",
        "authorized_official_telephone_number": "386-348-1158",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2024; 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.