Active NPI
Connesuala Walden, APRN
- Adult Health Nurse Practitioner
- Decatur, AL
National Provider Identifier
1043772932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 25546
- Practice address
- 1241 PT Mallard Pkwy Ste 410
Decatur, AL 35601-6572 - Phone
- (256) 286-2289
- NPI assigned
- Apr 1, 2019
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 25546 | TN | Primary |
Addresses
Primary practice location
1241 PT Mallard Pkwy Ste 410
Decatur, AL 35601-6572
Mailing address
1241 PT Mallard Pkwy Ste 410
Decatur, AL 35601-6572
Phone (256) 286-2289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradshaw Health, PLLC | Adult Health | Current | Accepting new patients |
Locations
115 Winwood Dr
Ste 205
Lebanon, TN 37087
Phone (615) 444-4126
1420 W Baddour Pkwy
Ste 240
Lebanon, TN 37087
Phone (615) 444-4126
Organizations & group practices 1
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": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1043772932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 PT MALLARD PKWY STE 410",
"city": "DECATUR",
"state": "AL",
"postal_code": "356016572",
"telephone_number": "256-286-2289",
"fax_number": "256-937-2508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 PT MALLARD PKWY STE 410",
"city": "DECATUR",
"state": "AL",
"postal_code": "356016572",
"telephone_number": "256-286-2289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDEN",
"first_name": "CONNESUALA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-01",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TN",
"license": "25546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.