Individual provider Active NPI

Katie S Connolly, CNM

  • Advanced Practice Midwife
  • Winter Park, FL
National Provider Identifier
1447642905
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN9452496 Issued in FL
Practice address
100 N Edinburgh Dr
Winter Park, FL 32792-4125
Phone
(407) 645-5565
Fax
(407) 647-1135
NPI assigned
Feb 20, 2015
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9452496 FL
Advanced Practice Midwife 367A00000X APRN9452496 FL Primary

Addresses

Primary practice location

100 N Edinburgh Dr
Winter Park, FL 32792-4125

Mailing address

3340 Waterman Way
Tavares, FL 32778-5250
Phone (352) 589-6005

Other practice location 1

3340 Waterman Way
Tavares, FL 32778-5250
Phone (352) 589-6005

Other identifiers 2

IdentifierTypeStateIssuer
020361500MedicaidFL
IX735ZOtherFLMEDICARE

Other names 1

  • Miss Katie Caldwell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150413001601 PA Practitioner - Certified Nurse Midwife (CNM) 8224356795 Reassigns benefits to 1 organization
I20190130002766 FL Practitioner - Certified Nurse Midwife (CNM) 8224356795 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

3340 Waterman Way
Tavares, FL 32778-5250
Phone (352) 589-6005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9452496FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Advanced Practice Midwife CurrentSince Mar 1, 2015 Accepting new patients
Florida Hospital Medical Group Inc Nurse Practitioner CurrentSince Mar 28, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Mar 28, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 1, 2015 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients

Locations

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

1749 David Walker Dr
Tavares, FL 32778
Phone (352) 742-1760

3340 Waterman Way
Tavares, FL 32778
Phone (352) 589-6005

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kcaldwell129060@adventhealth.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447642905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 WATERMAN WAY",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785250",
            "telephone_number": "352-589-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N EDINBURGH DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924125",
            "telephone_number": "407-645-5565",
            "fax_number": "407-647-1135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3340 Waterman Way",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327785250",
            "country_code": "US",
            "telephone_number": "352-589-6005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "KATIE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-20",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9452496",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN9452496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020361500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IX735Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "CALDWELL",
            "prefix": "MISS",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.