MR. JAMES LEWIS CONSTANZER (NPI# 1285171413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285171413 |
| Entity Type | Individual |
| Full Name | MR. JAMES LEWIS CONSTANZER |
| Credential | APRN-CNP |
| Practice Address |
14562 S Western Ave Edmond OK 73025-1645 |
| Practice Telephone | 4054713130 |
| Mailing Telephone | 4054713130 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R0123174 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R0123174 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
R0123174 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14562 S WESTERN AVE |
| City | EDMOND |
| State | OK |
| Zip Code | 73025-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252304 | Max Anna Hanna | Counselor | 2600 W. Coffee Creek Rd, Edmond, OK 73025 | 2020-07-07 |
| 1023403375 | Regina Kwendi | Counselor | 23802 Tuscany Plaza, Edmond, OK 73025 | 2015-04-03 |
| 1396165791 | Calandra Antonelli | Case Manager/Care Coordinator | 905 Baffy Court, Edmond, OK 73025 | 2014-04-24 |
| 1982732400 | Kim Mclanahan | Radiology | 5105 Circle Glen, Edmomd, OK 73025 | 2007-02-28 |
| 1922030758 | Leann Leach | Social Worker | 2660 Bobwhite Trail, Edmond, OK 73025 | 2006-07-06 |
| 1023012895 | Paul E Massad | Radiology | 5705 Country Club Ter, Edmond, OK 73025 | 2005-06-09 |
| 1760692594 | Angela Marie Danel | Occupational Therapist | 4150 W Evergreen Dr, Edmond, OK 73025-1112 | 2007-05-23 |
| 1891064572 | Oklahoma Therapy Services LLC | Occupational Therapist | 4150 W Evergreen Dr, Edmond, OK 73025-1112 | 2011-12-24 |
| 1477951499 | Rani Mcguar | Physical Therapist | 10930 Gracie Dr, Edmond, OK 73025-1165 | 2014-12-08 |
| 1104195650 | Clifton Forest Cypert | Counselor | 4575 Vista Valley Ln, Edmond, OK 73025-1189 | 2011-12-28 |
| Find all providers in zip 73025 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322240 | Lacey Campbell | Nurse Practitioner | 6124 Beverly Hills Dr, Edmond, OK 73034-8690 | 2020-09-30 |
| 1760017321 | Jennyfer Lynn Livingston | Nurse Practitioner | 105 S Bryant Ave # 205, Edmond, OK 73034-6399 | 2020-03-04 |
| 1770123655 | Jennifer Katherine Yeaman | Nurse Practitioner | 4905 Nw 155th St, Edmond, OK 73013-9666 | 2020-01-08 |
| 1922505593 | Heather Hollingsworth Hallmark | Nurse Practitioner | 544 Nw 172nd Pl, Edmond, OK 73012-6778 | 2018-04-10 |
| 1740792431 | Michelle R Lacy | Nurse Practitioner | 6600 Blackberry Rd, Edmond, OK 73034-9421 | 2017-11-02 |
| 1093225989 | Charles M Fofang | Nurse Practitioner | 1812 Brittany Ln, Edmond, OK 73003-3810 | 2017-10-04 |
| 1982630778 | Carrie A Schmidt Konen | Nurse Practitioner | 3217 Hunter Crest Dr, Edmond, OK 73034-0002 | 2006-06-23 |
| 1871554808 | Kim B. Knox | Nurse Practitioner | 19409 N Portland Ave, Edmond, OK 73012-9117 | 2006-03-29 |
| 1588655070 | Monica Esparza | Nurse Practitioner | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2005-11-02 |
| 1215928700 | Tina Ledet | Nurse Practitioner | One South Bryant, Edmond, OK 73034 | 2005-11-02 |
| Find all providers in EDMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.