Active NPI
Brenda Lee Connolly, ARNP
- Family Nurse Practitioner
- Saint Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 3359922
- Practice address
- 3501 54TH Ave S
Saint Petersburg, FL 33711-4541 - Phone
- (866) 389-2727
- NPI assigned
- May 17, 2010
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 3359922 | FL | Primary |
Addresses
Primary practice location
3501 54TH Ave S
Saint Petersburg, FL 33711-4541
Mailing address
3501 54TH Ave S
Saint Petersburg, FL 33711-4541
Phone (866) 389-2727
Other names 1
- Mrs. Brenda Lee Neel
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 CVS Dr
Woonsocket, RI 02895-6146
1 CVS Drive- MC
Suite 3040
Woonsocket, RI 02895-6146
1000 E Tarpon Ave
Tarpon Springs, FL 34689-5438
Phone (866) 389-2727
30387 US Hwy 19 N
Clearwater, FL 33761-1053
Phone (866) 389-2727
3501 54TH Ave S
St Petersburg, FL 33711-4541
Phone (866) 389-2727
6206 Commerce Palms Dr
Tampa, FL 33647-1506
Phone (866) 389-2727
7599 W Sand Lake Rd
Orlando, FL 32819-5109
Phone (866) 389-2727
8001 9TH St N
Saint Petersburg, FL 33702-4109
Phone (866) 389-2727
8905 Bryan Dairy Rd
Largo, FL 33777-1102
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 3359922 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Family | Current | Accepting new patients |
Locations
121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380
7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943
3501 54th Ave S
St Petersburg, FL 33711
Phone (727) 864-1546
8001 Mlk Jr Blvd N
St Petersburg, FL 33702
Phone (727) 577-6888
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734825600000",
"number": "1790003689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 54TH AVE S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337114541",
"telephone_number": "866-389-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 54TH AVE S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337114541",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLY",
"first_name": "BRENDA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-17",
"last_updated": "2024-12-22",
"certification_date": "2024-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 3359922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "NEEL",
"middle_name": "LEE",
"prefix": "MRS.",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.