Constance Elaine King, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP128756 Issued in TX

Practice address

950 W University Ave Ste 102
Georgetown, TX 78626-6505

Phone

(512) 240-5682

Fax

(512) 240-5684

NPI assigned

Mar 24, 2016

Last updated

Dec 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Constance Elaine Schmalriede Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2025 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kconstance259639@ahs.direct-ci.com

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.

• Ageless Men's Health Holdings, Inc

  dba Ageless Men's Health

  • Family Medicine Physician
  • Georgetown, TX
  • NPI 1013789973
  NPD
• Ageless Men's Health, LLC

  • Clinical Medical Laboratory
  • Memphis, TN
  • NPI 1003098997
  NPD (past)

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1477915957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W UNIVERSITY AVE STE 102",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266505",
            "telephone_number": "512-240-5682",
            "fax_number": "512-240-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W UNIVERSITY AVE STE 102",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266505",
            "telephone_number": "512-240-5682",
            "fax_number": "512-240-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "CONSTANCE",
        "middle_name": "ELAINE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2024-12-03",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP128756",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128756",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONSTANCE",
            "last_name": "SCHMALRIEDE",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian T Kim, DDS
• Christine Anne Kimber, COTA
• Kimberly Shewmaker, P.C.
• Amy Marie King
• Ashley Rose King, NURSE PRACTITIONER
• Emily Kaye Kipp-Wright, M.A., LPC
• Robert Alan Kirk, D.D.S.
• Mikayla Kirsch, OTR, MOT
• Jeffrey William Klein, LPC
• Brandon Allen Kline, COTA

• Nurse Practitioner in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.