MRS. CONNIE RHOADES KILLAM APRN NPI 1033427406

NPI Information

  • NPI: 1033427406
  • Provider Name: MRS. CONNIE RHOADES KILLAM, APRN
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 596 N FERDON BLVD
    CRESTVIEW, FL
    ZIP 32536
  • Phone: (850) 306-3268

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NPI Details

MRS. Connie Rhoades Killam, APRN is a women's health nurse practitioner in Crestview, FL with 29 years of experience. MRS. Connie Rhoades Killam, APRN NPI is 1033427406. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:1996

The provider's business location address is:

596 N FERDON BLVD
CRESTVIEW, FL
ZIP 32536-753
Phone: (850) 306-3268
Fax: (850) 398-5029

The NPI 1033427406 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 9/20/2010 and was last updated on 11/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's HealthAPRN2623762FLORIDAYes
2363LN0005XNurse PractitionerNeonatal, Critical CareAPRN2623762FLORIDANo
3163W00000XRegistered NurseRN 1-085282ALABAMANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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