Active NPI
Connie Armstrong
- Nurse Practitioner
- Mountain Grove, MO
National Provider Identifier
1508917949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 148337
- Practice address
- 1604 N. Main
Mountain Grove, MO 65711 - Phone
- (417) 926-1713
- Fax
- (417) 926-1209
- NPI assigned
- Jan 14, 2007
- Last updated
- Sep 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 148337 | MO | Primary |
Addresses
Primary practice location
1604 N. Main
Mountain Grove, MO 65711
Mailing address
PO Box 1359
Ava, MO 65608-1359
Phone (417) 683-4831
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1508917949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1359",
"city": "AVA",
"state": "MO",
"postal_code": "656081359",
"telephone_number": "417-683-4831",
"fax_number": "417-683-1602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 N. MAIN",
"city": "MOUNTAIN GROVE",
"state": "MO",
"postal_code": "65711",
"telephone_number": "417-926-1713",
"fax_number": "417-926-1209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMSTRONG",
"first_name": "CONNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-14",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "148337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain Grove, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.