Individual provider Active NPI

Constance F Czarnecki, RSA

  • Surgical Technologist
  • Cheyenne, WY
National Provider Identifier
1962523274
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
238.000065 Issued in IL
Practice address
201 Walterscheid Blvd Apt 3-101
Cheyenne, WY 82007-2030
Phone
(630) 927-8269
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZS0410X
Surgical TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZS0410X 238.000065 IL Primary

Addresses

Primary practice location

201 Walterscheid Blvd Apt 3-101
Cheyenne, WY 82007-2030

Mailing address

201 Walterscheid Blvd Apt 3-101
Cheyenne, WY 82007-2030
Phone (630) 927-8269

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

State licenses

LicenseStateTypeSpecialty
238.000065ILMDSurgical Technologist

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1962523274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WALTERSCHEID BLVD APT 3-101",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820072030",
            "telephone_number": "630-927-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WALTERSCHEID BLVD APT 3-101",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820072030",
            "telephone_number": "630-927-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZARNECKI",
        "first_name": "CONSTANCE",
        "middle_name": "F",
        "credential": "RSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "IL",
            "license": "238.000065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.