Individual provider Active NPI

Angela Suzanne Constant, FNP

  • Family Nurse Practitioner
  • Caruthersville, MO
National Provider Identifier
1508022211
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
137502 Issued in MO
Practice address
108 W 15TH St
Caruthersville, MO 63830-2202
Phone
(573) 333-0033
Fax
(573) 333-2522
NPI assigned
Aug 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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 137502 MO Primary

Addresses

Primary practice location

108 W 15TH St
Caruthersville, MO 63830-2202

Mailing address

433 County Highway 553
Caruthersville, MO 63830-8174
Phone (573) 333-0033

Other practice location 1

412 Ward Ave
Caruthersville, MO 63830-1451
Phone (573) 333-0033

Other names 1

  • Angie Constant Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090122000043 MO Practitioner - Nurse Practitioner 3779647631

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

433 County Hwy 553
Caruthersville, MO 63830

Hospital & facility affiliations

  • Visiting Nurse Association of Southeast Missouri, Inc Home health agency, Kennett, MO, CCN 267050
  • Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072
  • Pemiscot County Memorial Hospital Hospital, Hayti, MO, CCN 260780
  • Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
137502MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cane Ridge Emergency Physicians LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aconstant18720@directepic.wth.org

Organizations & group practices 1

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 5

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": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1508022211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 COUNTY HIGHWAY 553",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638308174",
            "telephone_number": "573-333-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W 15TH ST",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638302202",
            "telephone_number": "573-333-0033",
            "fax_number": "573-333-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 Ward Ave",
            "address_purpose": "LOCATION",
            "city": "Caruthersville",
            "state": "MO",
            "postal_code": "638301451",
            "country_code": "US",
            "telephone_number": "573-333-0033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONSTANT",
        "first_name": "ANGELA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "137502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "CONSTANT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Caruthersville, MO

Sources for this page

Verify at the official NPI Registry.