Individual provider Active NPI

Constance Marie Engler, N.P.

  • Nurse Practitioner
  • San Bruno, CA
National Provider Identifier
1679587307
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
217707 Issued in CA
Practice address
515 Maple Ave
San Bruno, CA 94066-4147
Phone
(650) 952-9322
Fax
(650) 952-9322
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 217707 CA Primary

Addresses

Primary practice location

515 Maple Ave
San Bruno, CA 94066-4147

Mailing address

515 Maple Ave
San Bruno, CA 94066-4147
Phone (650) 952-9322

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4445CAMDSpeech-Language Pathologist
217707CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679587307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MAPLE AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940664147",
            "telephone_number": "650-952-9322",
            "fax_number": "650-952-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MAPLE AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940664147",
            "telephone_number": "650-952-9322",
            "fax_number": "650-952-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLER",
        "first_name": "CONSTANCE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "217707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bruno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.