Angelina Jeanine Constable

Primary specialty

Orthotic FitterTaxonomy code 225000000X

Practice address

14500 99TH Ave N
Maple Grove, MN 55369-4478

Phone

(763) 898-1361

Fax

(763) 898-1866

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1629285937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 SCHOOL ST NW APT 204",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301885",
            "telephone_number": "763-227-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 99TH AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694478",
            "telephone_number": "763-898-1361",
            "fax_number": "763-898-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTABLE",
        "first_name": "ANGELINA",
        "middle_name": "JEANINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Christine Collison, CNP
• Crystal Lynn Colvin, LMT
• Compassionate Behavioral Health LLC
• Christen Conrad, COTA/L
• Conscious Chiropractic Center
• Kathryn Jane Conway, APRN
• Kaitlyne Marie Cook
• Mark Cool
• Katie Corcoran, M.D.
• Randle Scott Corfman, PH.D, M.D.

• Orthotic Fitter in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Orthotic Fitter in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.