Active NPI
Sandra Connell, CST
- Registered Nurse
- Gainesville, FL
National Provider Identifier
1124247903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9452439
- Practice address
- 6440 W Newberry Rd
Suite 401
Gainesville, FL 32605-4381 - Phone
- (352) 332-0030
- Fax
- (352) 332-0039
- NPI assigned
- Apr 24, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9452439 | FL | Primary |
Addresses
Primary practice location
6440 W Newberry Rd
Suite 401
Gainesville, FL 32605-4381
Mailing address
813 SE Bible Camp St
High Springs, FL 32643-1190
Phone (352) 214-8227
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90802 | Other | FL | CST NUMBER |
| RN9452439 | Other | FL | MEDICAL LICENSE |
| 8VRAP | Other | FL | FLORIDA BLUE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN9452439 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Neurosurgical Associates PA | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10021331
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.
-
- Neurological Surgery Physician
- Gainesville, FL
- NPI 1639392004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500336000000",
"number": "1124247903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 SE BIBLE CAMP ST",
"city": "HIGH SPRINGS",
"state": "FL",
"postal_code": "326431190",
"telephone_number": "352-214-8227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6440 W NEWBERRY RD",
"address_2": "SUITE 401",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054381",
"telephone_number": "352-332-0030",
"fax_number": "352-332-0039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELL",
"first_name": "SANDRA",
"credential": "CST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2017-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9452439",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CST NUMBER",
"identifier": "90802",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "RN9452439",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "8VRAP",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.