Individual provider Active NPI

Constance Stubblefield Lydon

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1447588942
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9231008 Issued in FL
Practice address
2415 N Orange Ave
Orlando, FL 32804-5505
Phone
(407) 303-2474
NPI assigned
Nov 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9231008 FL Primary

Addresses

Primary practice location

2415 N Orange Ave
Orlando, FL 32804-5505

Mailing address

2415 North Orange Ave
Orlando, FL 32804-2709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100223000252 FL Practitioner - Nurse Practitioner 1759425184 Reassigns benefits to 2 organizations
I20231214000774 TN Practitioner - Nurse Practitioner 1759425184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

225 Big Station Camp Blvd
Suite 104
Gallatin, TN 37066-8464
Phone (615) 328-6180

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Feb 28, 2017 Accepting new patients
Adventist Health System-Sunbelt, Inc CurrentSince Jun 15, 2016 Accepting new patients
Tennessee Oncology PLLC CurrentSince Nov 1, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Feb 28, 2017 Accepting new patients
Adventist Health System-Sunbelt, Inc CurrentSince Jun 15, 2016 Accepting new patients
Tennessee Oncology,PLLC CurrentSince Nov 1, 2023 Accepting new patients
Adventist Health System Sunbelt Inc Current Accepting new patients
Tennessee Oncology PLLC PastSince Mar 5, 2023 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

900 Winderley Pl
Ste 2100
Maitland, FL 32751
Phone (407) 200-1606

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

2415 N Orange Ave
Ste 700
Orlando, FL 32804
Phone (407) 303-2474

225 Big Station Camp Blvd
Ste 104
Gallatin, TN 37066
Phone (615) 328-6170

225 Big Station Camp Blvd
#104
Gallatin, TN 37066

2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023

300 Stonecrest Blvd
Ste 155
Smyrna, TN 37167
Phone (615) 768-2855

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1447588942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 NORTH ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328042709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 N ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045505",
            "telephone_number": "407-303-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBLEFIELD LYDON",
        "first_name": "CONSTANCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-23",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9231008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.