Active NPI
Vicki Marie Connell, AU.D.
- Audiologist
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY 744
- Practice address
- 620 10TH Street N.
St Petersburg, FL 33705-1407 - Phone
- (727) 824-7170
- Fax
- (727) 824-7142
- NPI assigned
- Jun 15, 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY 744 | FL | Primary |
Addresses
Primary practice location
620 10TH Street N.
St Petersburg, FL 33705-1407
Mailing address
PO Box 12868
St Petersburg, FL 33733-2868
Phone (727) 532-1355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004338301 | Medicaid | FL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY 744 | FL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Andrew Marlowe, MD, PA | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| ENT and Allergy Associates of Florida, LLC | Past | Accepting new patients | |
| Genesiscare USA of Florida LLC | Past | Accepting new patients |
Locations
24 Del Prado Blvd N
Ste 100
Cape Coral, FL 33909
Phone (239) 772-2171
21 Barkley Cir
Fort Myers, FL 33907
Phone (239) 939-2616
39 Barkley Cir
Fort Myers, FL 33907
Phone (239) 936-1616
730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119
4937 Clark Rd
Ste 101
Sarasota, FL 34233
Phone (941) 379-3277
4120 Woodmere Park Blvd
Ste 8A
Venice, FL 34293
Phone (941) 408-8077
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.
-
- Otolaryngology Physician
- Sarasota, FL
- NPI 1750339776
-
- Radiation Oncology Physician
- Fort Myers, FL
- NPI 1134109747
-
dba Ear, Nose and Throat Specialists of Florida
- Otolaryngology Physician
- Fort Myers, FL
- NPI 1154757904
-
dba David Schwartzwald, MD: Urology Care Specialists
- Urology Physician
- Boca Raton, FL
- NPI 1649093709
-
- Otolaryngology Physician
- Boca Raton, FL
- NPI 1164473120
-
dba Florida Gynecologic Oncology
- Gynecologic Oncology Physician
- Fort Myers, FL
- NPI 1316981194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396224000000",
"number": "1255536702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12868",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337332868",
"telephone_number": "727-532-1355",
"fax_number": "727-266-4928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 10TH STREET N.",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337051407",
"telephone_number": "727-824-7170",
"fax_number": "727-824-7142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELL",
"first_name": "VICKI",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-15",
"last_updated": "2014-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY 744",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004338301",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.