Active NPI
Constance Carlton
- Family Nurse Practitioner
- Kernersville, NC
National Provider Identifier
1922332295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5004497
- Practice address
- 1101 S Main St
Kernersville, NC 27284-7478 - Phone
- (612) 225-1538
- NPI assigned
- Sep 19, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5004497 | NC | Primary |
Addresses
Primary practice location
1101 S Main St
Kernersville, NC 27284-7478
Mailing address
1101 S Main St
Kernersville, NC 27284-7478
Phone (612) 225-1538
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5004497 | NC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253318400000",
"number": "1922332295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 S MAIN ST",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272847478",
"telephone_number": "612-225-1538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 S MAIN ST",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272847478",
"telephone_number": "612-225-1538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLTON",
"first_name": "CONSTANCE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-19",
"last_updated": "2009-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5004497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kernersville, NC
- Alexandra Pepper Capra, DPT
- Care2Loveinaction
- Carenet, Inc. (Baptist Hospital Carenet Counseling Centers)
- Shawn William Carey, PT
- Jennifer Carlson-Long, PTA
- Carolina Medicorp Enterprises, Inc (Primce care of Kernersville)
- Carolina Physical Therapy Specialists, Inc
- Carolina Urological Associates, P.a.
- Kayla Rene' Carpenter, RN, LMBT
- Joel Sergio Carrera, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.