Etrenda Connell, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN057301 Issued in GA

Practice address

206 S Patterson St
Third Floor
Valdosta, GA 31601-5668

Phone

(229) 245-6565

Fax

(229) 245-6561

NPI assigned

Oct 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1104221308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 ARROWLEAF DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316012771",
            "telephone_number": "229-245-6565",
            "fax_number": "229-245-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S PATTERSON ST",
            "address_2": "THIRD FLOOR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015668",
            "telephone_number": "229-245-6565",
            "fax_number": "229-245-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "ETRENDA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN057301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Smitha Comparato, FNP-C
• Sarah Nebel Comparato, AGNP
• Compass 4K Enterprise LLC
• Compass Behavioral & Developmental Consultants LLC
• Laura Braswell Conger
• Chuck Conner, L.A.T., A.T.C.
• Anne Conrad, OTRL
• Mary T. Consolini, CCC-A/SLP
• Constant Care of Valdosta
• Constant Care of Valdosta LLC (Constant Care of Valdosta)

• Registered Nurse in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.