Constance C Eadie, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3252912 Issued in FL

Practice address

615 N Bonita Ave
Panama City, FL 32401-3623

Phone

(850) 747-2020

NPI assigned

Feb 12, 2007

Last updated

Feb 21, 2014By the provider in NPPES

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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• FL-I Medical Services, LLC

  • Nurse Practitioner
  • Fort Pierce, FL
  • NPI 1750655106
  Medicare reassignment NPD
• Hospital Medicine Services of FL, LLC

  • Hospitalist Physician
  • Aventura, FL
  • NPI 1710684857
  Medicare reassignment NPD
• FL-I Medical Services LLC

  • Emergency Medicine Physician
  • Panama City, FL
  • NPI 1083063010
  NPD
• FL-I Medical Services LLC

  • Physician Assistant
  • Haines City, FL
  • NPI 1285356790
  NPD
• Bayne Jones Army Community Hospital

  • Family Medicine Physician
  • Niceville, FL
  • NPI 1831586312
  NPD (past)
• Blue Wave Emergency Physicians LLC

  • Emergency Medicine Physician
  • Panama City, FL
  • NPI 1093064628
  NPD (past)
• Emerald Coast Hospitalist Inc

  • Hospitalist Physician
  • Panama City, FL
  • NPI 1144548793
  NPD (past)
• Quality Drive Emergency Physicians LLC

  • Emergency Medicine Physician
  • Spring Hill, FL
  • NPI 1093998833
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1669514162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 KRISTANNA DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053274",
            "telephone_number": "850-271-4239",
            "fax_number": "850-747-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N BONITA AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013623",
            "telephone_number": "850-747-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADIE",
        "first_name": "CONSTANCE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3252912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Duve-Berghammer, DC
• Dynamic Pain & Wellness LLC (Dynamic Pain & Wellness, PLLC)
• Dzung Nguyen, M.D.
• E. Jacob M.D, PA
• Alexander Jordan Eades
• Benjamin Eakes, NP
• Earnest Therapy & Consulting, LLC
• Benjamin Earnest, LMHC
• Bobbie R Earp, M.S. CCC-SLP
• Kimberly Eaton, MD

• Family Nurse Practitioner in Panama City, FL
• Providers in Panama City, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.