Connie Aileen Fauntleroy, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME151342 Issued in FL

Practice address

4445 S Semoran Blvd Ste a
Orlando, FL 32822-2472

Phone

(407) 203-8957

Fax

(407) 985-1904

NPI assigned

Apr 13, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19494/brand/1/csg/1/fhir/r4

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.

• Curo Pediatrics, PLLC

  • Primary Care Clinic/Center
  • Clermont, FL
  • NPI 1821864992
  NPD Authorized official
• Compassion Pediatrics LLC

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1194066761
  NPD

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1225271885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 S SEMORAN BLVD STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222472",
            "telephone_number": "407-203-8957",
            "fax_number": "407-985-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 S SEMORAN BLVD STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222472",
            "telephone_number": "407-203-8957",
            "fax_number": "407-985-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUNTLEROY",
        "first_name": "CONNIE",
        "middle_name": "AILEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "FL",
            "license": "ME151342",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME151342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111955900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shafiya Fatima
• Zakia Fatima, RPH
• Ommul Baneen Ali Fatmi, DO
• Donna Lynn Faulkner, CRNA
• William Faulkner
• Aliane Faure Betancourt
• Chandler Reed Fausnaugh, LMHC, CAP
• Alexandria Fauss, MSW
• Jacqueline S Faust, PA-C
• Luis A Faverio, M.D.

• Pediatrics Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.