Active NPI
Constance A. Bellaver, A.R.N.P.
- Nurse Practitioner
- Dubuque, IA
National Provider Identifier
1679522320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- J055934
- Practice address
- 1000 Langworthy St
Dubuque, IA 52001-7313 - Phone
- (563) 584-3430
- Fax
- (563) 584-3394
- NPI assigned
- May 9, 2006
- Sex
- Female
- Sole proprietor
- No
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | J055934 | IA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1000 Langworthy St
Dubuque, IA 52001-7313
Mailing address
1500 Associates Dr
Dubuque, IA 52002-2201
Phone (563) 584-4100
Other names 1
NPPES NPI Registry- Constance A. Rolling
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 30, 2009.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259539200000",
"number": "1679522320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 ASSOCIATES DR",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520022201",
"telephone_number": "563-584-4100",
"fax_number": "563-584-4110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 LANGWORTHY ST",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520017313",
"telephone_number": "563-584-3430",
"fax_number": "563-584-3394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLAVER",
"first_name": "CONSTANCE",
"middle_name": "A.",
"credential": "A.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2009-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "J055934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CONSTANCE",
"last_name": "ROLLING",
"middle_name": "A.",
"credential": "A.R.N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.