Individual provider Active NPI

Susan Lynn Connell, ARNP CNM

  • Advanced Practice Midwife
  • Davenport, FL
National Provider Identifier
1134429210
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN3088012 Issued in FL
Practice address
2221 North Blvd W
Davenport, FL 33837-8990
Phone
(863) 421-7600
NPI assigned
Oct 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN3088012 FL Primary

Addresses

Primary practice location

2221 North Blvd W
Davenport, FL 33837-8990

Mailing address

2221 North Blvd W
Davenport, FL 33837-8990
Phone (863) 421-7600

Other practice location 1

5002 W Lemon St
Tampa, FL 33609-1104
Phone (813) 286-0033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130820000901 FL Practitioner - Certified Nurse Midwife (CNM) 9436314150 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Womens' Health Hospitalists, LLC CurrentSince Jul 1, 2019 Accepting new patients
Lakeland Regional Health Systems, Inc. CurrentSince Aug 6, 2018 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Nov 8, 2021 Accepting new patients
Women'S Care Florida LLC Advanced Practice Midwife CurrentSince Jul 1, 2019 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Oct 16, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Nov 8, 2021 Accepting new patients

Locations

2221 North Blvd W
Davenport, FL 33837
Phone (863) 421-7600

1001 State Road 60 E
Lake Wales, FL 33853
Phone 8634217600 ext. 235

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

3030 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1222

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

5002 W Lemon St
Tampa, FL 33609

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

220 Avenue O SE
Winter Haven, FL 33880
Phone 8634217600 ext. 235

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: sconnell144564@adventhealth.direct-ci.com

Organizations & group practices 6

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": "1287792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1134429210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 NORTH BLVD W",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378990",
            "telephone_number": "863-421-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 NORTH BLVD W",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378990",
            "telephone_number": "863-421-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5002 W Lemon St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336091104",
            "country_code": "US",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ARNP CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-23",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN3088012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.