Individual provider Active NPI

Haley Janet Connolly, AUD

  • Audiologist
  • Bonita Springs, FL
National Provider Identifier
1891368767
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2505 Issued in FL
Practice address
3350 Woods Edge Cir
Bonita Springs, FL 34134-1366
Phone
(239) 948-3434
NPI assigned
Jul 20, 2021
Last updated
Jul 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2505 FL Primary

Addresses

Primary practice location

3350 Woods Edge Cir
Bonita Springs, FL 34134-1366

Mailing address

1737 SE 39TH Ter
Cape Coral, FL 33904-5083
Phone (570) 932-0171

Other practice location 1

5470 Bryson Ct Ste 102
Naples, FL 34109-6000
Phone (239) 434-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL n/a

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

LicenseStateTypeSpecialty
AY2505FLMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1891368767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 SE 39TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045083",
            "telephone_number": "570-932-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 WOODS EDGE CIR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341341366",
            "telephone_number": "239-948-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5470 Bryson Ct Ste 102",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341096000",
            "country_code": "US",
            "telephone_number": "239-434-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "HALEY",
        "middle_name": "JANET",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "3350 Woods Edge Cir",
            "city": "Bonita Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341341366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.