Connie Killam, APRN
Connie Killam, APRN is a Women's Health Nurse Practitioner in Crestview, FL, registered under NPI 1033427406. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 596 N FERDON BLVD, Crestview, FL 32536. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| APRN2623762 | FL | Women's Health Nurse Practitioner primary |
| APRN2623762 | FL | Critical Care Neonatal Nurse Practitioner |
| RN 1-085282 | AL | Registered Nurse |
Licences are recorded in 2 states: FL, AL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 5991985855
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Alabama and Florida. The practice address on file is in Crestview, FL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- APRN2623762
- Specialty
- Women's Health Nurse Practitioner
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Women's Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LW0102X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LW0102X | Women's Health Nurse Practitioner Women's Health | APRN2623762 | FL | primary |
| 363LN0005X | Critical Care Neonatal Nurse Practitioner Neonatal, Critical Care | APRN2623762 | FL | |
| 163W00000X | Registered Nurse | RN 1-085282 | AL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1033427406 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Sep 20, 2010 |
| Last updated | Nov 19, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | APRN |
| Practice address |
596 N FERDON BLVD Crestview, FL 32536 (850) 306-3268 Fax (850) 398-5029 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 3 | 3 | 4 | 2 | 7 | 4 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 6 | 3 | 8 | 2 | 5 | 4 | 0 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.