Individual provider Active NPI

Constance Cole Blunt, M.D.

  • Medical Oncology Physician
  • Baton Rouge, LA
National Provider Identifier
1710245162
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
207962 Issued in LA
Practice address
4950 Essen LN Ste 500
Baton Rouge, LA 70809-3738
Phone
(225) 757-0343
Fax
(225) 757-8354
NPI assigned
Apr 23, 2012
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10043536 TX
Medical Oncology Physician 207RX0202X 207962 LA Primary

Addresses

Primary practice location

4950 Essen LN Ste 500
Baton Rouge, LA 70809-3738

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 765-5727

Other practice location 1

463 Westfield Blvd
apt. 836
Temple, TX 76502-5318
Phone (979) 661-1801

Other identifiers 3

IdentifierTypeStateIssuer
2388266OtherLAMEDICAID
046887OtherLACDS
207962OtherLASTATE LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ccoleblount2095674@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180627002570 LA Practitioner - Hematology/Oncology 3173828381 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Texas a & M University System, HSC, College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Bird Perkins Cancer CenterGroup PAC ID 4385646280, 95 clinicians

Practice addresses (Care Compare)

3983 I 49 S Service Rd
Opelousas, LA 70570-0758
Phone (337) 948-5168

4950 Essen LN
Baton Rouge, LA 70809-3738
Phone (225) 767-0847

4950 Essen LN
Suite 500
Baton Rouge, LA 70809-3482
Phone (225) 767-0847

8585 Picardy Ave
Baton Rouge, LA 70809-3748
Phone (225) 387-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10043536TXMDInternal Medicine Physician
207962LAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette General Medical Center Inc. CurrentSince Aug 1, 2018 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Aug 1, 2018 Accepting new patients
Mary Bird Perkins Cancer Center CurrentSince Oct 15, 2022 Accepting new patients
Lafayette Health Ventures, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
University Hospital & Clinics, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Aug 1, 2018 Accepting new patients
University Hospital & Clinics Inc CurrentSince Aug 1, 2018 Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

4950 Essen Ln
Ste 300
Baton Rouge, LA 70809
Phone (225) 214-6688

4950 Essen Ln
Ste 500
Baton Rouge, LA 70809
Phone (225) 765-8823

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

3983 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 407-4512

3983 I 49 S Service Rd
Ste 103
Opelousas, LA 70570
Phone (337) 942-1126

4950 Essen Ln
St George, LA 70809
Phone (225) 215-1311

825 W Lasalle St
Ville Platte, LA 70586
Phone (337) 363-5521

Interoperability endpoints

  • Direct secure messaging: ccoleblount2095674@direct.casso.us.com

Organizations & group practices 8

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1710245162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-765-5727",
            "fax_number": "225-765-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 ESSEN LN STE 500",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093738",
            "telephone_number": "225-757-0343",
            "fax_number": "225-757-8354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463 Westfield Blvd",
            "address_2": "apt. 836",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765025318",
            "country_code": "US",
            "telephone_number": "979-661-1801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUNT",
        "first_name": "CONSTANCE",
        "middle_name": "COLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10043536",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "LA",
            "license": "207962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "2388266",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "046887",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "207962",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccoleblount2095674@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMILHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccoleblount2095674@direct.casso.us.com",
            "address_1": "4950 Essen Ln Ste 300",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708093739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4950 Essen Ln Ste 300",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708093739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.