Individual provider Active NPI

Connie Lapadat

  • Family Nurse Practitioner
  • Palmetto, FL
National Provider Identifier
1043511900
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9411796 Issued in FL
Practice address
5600 Bayshore Rd
Palmetto, FL 34221
Phone
(941) 721-2020
Fax
(941) 721-2027
NPI assigned
Nov 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9411796 FL Primary

Addresses

Primary practice location

5600 Bayshore Rd
Palmetto, FL 34221

Mailing address

700 8TH Ave W Ste 101
Palmetto, FL 34221-4737
Phone (941) 776-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160829003082 CA Practitioner - Nurse Practitioner 4385872308 Reassigns benefits to 1 organization
I20170928001520 FL Practitioner - Nurse Practitioner 4385872308 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19191CAMDPhysical Therapist
ARNP9411796FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. Family CurrentSince Jan 16, 2018 Accepting new patients
MCR Health, Inc. CurrentSince Jan 16, 2018 Accepting new patients
SNF Wound Care CurrentSince Nov 15, 2020 Accepting new patients
Prompt Laboratories Inc CurrentSince Aug 7, 2022 Accepting new patients

Locations

1300 Valley Vista Dr
Ste 102
Diamond Bar, CA 91765
Phone (626) 389-7498

1244 Travis Blvd
Fairfield, CA 94533
Phone (707) 422-7750

1832 B St
Hayward, CA 94541
Phone (510) 538-3866

5600 Bayshore Rd
Palmetto, FL 34221
Phone (941) 721-2020

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1043511900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 8TH AVE W STE 101",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214737",
            "telephone_number": "941-776-4000",
            "fax_number": "941-845-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 BAYSHORE RD",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "34221",
            "telephone_number": "941-721-2020",
            "fax_number": "941-721-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPADAT",
        "first_name": "CONNIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9411796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

Verify at the official NPI Registry.