Individual provider Active NPI

Carolyn Constantin, PHD, RNC

  • Registered Nurse
  • Honolulu, HI
National Provider Identifier
1730733627
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN200131 Issued in MA
Practice address
3890 Old Pali Rd
Honolulu, HI 96817-1012
Phone
(404) 395-4083
NPI assigned
Jul 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN200131 MA Primary

Addresses

Primary practice location

3890 Old Pali Rd
Honolulu, HI 96817-1012

Mailing address

3890 Old Pali Rd
Honolulu, HI 96817-1012
Phone (404) 395-4083

Other identifiers 1

IdentifierTypeStateIssuer
00000000OtherHII DO NOT PRACTICE AND DO NOT BILL FOR SERVICES

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Honolulu Other

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
RN200131MAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1730733627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 OLD PALI RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171012",
            "telephone_number": "404-395-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 OLD PALI RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171012",
            "telephone_number": "404-395-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTIN",
        "first_name": "CAROLYN",
        "credential": "PHD, RNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN200131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I DO NOT PRACTICE AND DO NOT BILL FOR SERVICES",
            "identifier": "00000000",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Honolulu",
            "affiliation": "N",
            "endpointDescription": "I do not practice and do not use endpoint",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Honolulu",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "I do not practice and do not use endpoint",
            "address_1": "3890 Old Pali Rd",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968171012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.