Active NPI
Constance Joan Herron, BSN, MPH
- Registered Nurse
- Deerfield, IL
National Provider Identifier
1548860604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041245597
- Practice address
- 2065 Half Day Rd
Deerfield, IL 60015-1241 - Phone
- (847) 317-6698
- NPI assigned
- Oct 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041245597 | IL | Primary |
Addresses
Primary practice location
2065 Half Day Rd
Deerfield, IL 60015-1241
Mailing address
1486 Quaker LN
Prospect Heights, IL 60070-1918
Phone (224) 595-5949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041245597 | Other | IL | ILLINOIS NURSING LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cjherron@tiu.edu | Direct |
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
- Credentials
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041245597 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1548860604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1486 QUAKER LN",
"city": "PROSPECT HEIGHTS",
"state": "IL",
"postal_code": "600701918",
"telephone_number": "224-595-5949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2065 HALF DAY RD",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600151241",
"telephone_number": "847-317-6698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRON",
"first_name": "CONSTANCE",
"middle_name": "JOAN",
"credential": "BSN, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-28",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041245597",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS NURSING LICENSE",
"identifier": "041245597",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjherron@tiu.edu",
"affiliation": "N",
"endpointDescription": "university email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2065 Half Day Rd",
"city": "Deerfield",
"state": "IL",
"country_code": "US",
"postal_code": "600151241",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Deerfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.