Individual provider Active NPI

Constance Golden

  • Registered Nurse
  • Parkersburg, WV
National Provider Identifier
1457073660
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
39248 Issued in WV
Practice address
417 Grand Park Dr
Parkersburg, WV 26105-0002
Phone
(304) 210-3370
NPI assigned
Sep 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 39248 WV Primary

Addresses

Primary practice location

417 Grand Park Dr
Parkersburg, WV 26105-0002

Mailing address

417 Grand Park Dr
Parkersburg, WV 26105-0002
Phone (304) 210-3370

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Desktop/Tablet
CONNECT URL Desktop/Tablet

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39248WVMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1457073660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 GRAND PARK DR",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261050002",
            "telephone_number": "304-210-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 GRAND PARK DR",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261050002",
            "telephone_number": "304-210-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "CONSTANCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "39248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop/Tablet",
            "affiliation": "N",
            "address_1": "417 Grand Park Dr",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261050002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop/Tablet",
            "affiliation": "N",
            "address_1": "417 Grand Park Dr",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261050002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.