{"npi":"1033427406","type":"NPI-1","status":"active","name":{"display":"Mrs. Connie Killam APRN","other":[{"code":"1","type":"Formerly known as","value":"RHOADES, CONNIE LOUISE"}],"first":"CONNIE","last":"KILLAM","middle":"RHOADES","credential":"APRN"},"specialty":{"primary_taxonomy":"363LW0102X","primary_taxonomy_description":"Nurse Practitioner, Women's Health","slug":"nurse-practitioner-womens-health","schema_org_specialty":"Gynecologic","all":[{"code":"363LW0102X","description":"Nurse Practitioner, Women's Health","primary":true,"state":"FL","license":"APRN2623762"},{"code":"363LN0005X","description":"Critical Care Neonatal Nurse Practitioner","primary":false,"state":"FL","license":"APRN2623762"},{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"AL","license":"RN 1-085282"}]},"addresses":[{"purpose":"LOCATION","street_1":"596 N FERDON BLVD","city":"CRESTVIEW","state":"FL","postal_code":"325362753","country_code":"US","phone":"8503063268","fax":"8503985029"},{"purpose":"MAILING","street_1":"596 N FERDON BLVD","city":"CRESTVIEW","state":"FL","postal_code":"325362753","country_code":"US","phone":"8503063268","fax":"8503985029"}],"license":{"state":"FL","number":"APRN2623762"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110209000676","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"FL","pac_id":"5991985855"}]},"enumeration_date":"2010-09-20","last_updated":"2025-11-19","_meta":{"source":"NPPES","snapshot_date":"2025-11-19","doc_url":"https://findmynpi.com/api"}}