Individual provider Active NPI

Constance K Siekierski, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1518524628
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11008584 Issued in FL
Practice address
5961 NW 173Rd Dr
Hialeah, FL 33015-5114
Phone
(305) 556-7500
Fax
(305) 851-5708
NPI assigned
May 23, 2019
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN02059 RI
Family Nurse Practitioner 363LF0000X APRN11008584 FL Primary

Addresses

Primary practice location

5961 NW 173Rd Dr
Hialeah, FL 33015-5114

Mailing address

5961 NW 173Rd Dr
Hialeah, FL 33015-5114
Phone (305) 556-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, NH, IA, OH, VA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20250530003011 TX Practitioner - Nurse Practitioner 7012248495 Reassigns benefits to 1 organization
I20250605000240 IL Practitioner - Nurse Practitioner 7012248495 Reassigns benefits to 1 organization
I20250605001086 NH Practitioner - Nurse Practitioner 7012248495 Reassigns benefits to 1 organization
I20250605001298 IA Practitioner - Nurse Practitioner 7012248495 Reassigns benefits to 1 organization
I20250611001205 OH Practitioner - Nurse Practitioner 7012248495 Reassigns benefits to 1 organization
I20250625003157 VA Practitioner - Nurse Practitioner 7012248495 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kible Health, P.a. CurrentSince May 28, 2025 Accepting new patients
Dispatchhealth-Florida Inc. PastSince Aug 1, 2021 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

390 NE 191st St
Ste 8885
Miami, FL 33179
Phone (646) 296-0527

1501 42nd St
West Des Moines, IA 50266
Phone (515) 333-9734

1000 Essington Rd
Fl 1
Joliet, IL 60435
Phone (630) 720-2161

20 Foundry St
Concord, NH 03301
Phone (603) 232-9246

4285 Morse Rd
Gahanna, OH 43230
Phone (614) 446-5875

780 Lynnhaven Pkwy
Virginia Beach, VA 23452
Phone (224) 206-5001

Interoperability endpoints

  • Direct secure messaging: constance.siekierski.1@30093.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1518524628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5961 NW 173RD DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155114",
            "telephone_number": "305-556-7500",
            "fax_number": "305-851-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5961 NW 173RD DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155114",
            "telephone_number": "305-556-7500",
            "fax_number": "305-851-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEKIERSKI",
        "first_name": "CONSTANCE",
        "middle_name": "K",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN02059",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.