KELLY MARIE CONRAD (NPI# 1144736703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144736703 |
| Entity Type | Individual |
| Full Name | KELLY MARIE CONRAD |
| Credential | RN |
| Practice Address |
346 Larpenteur Ave W Saint Paul MN 55113-6712 |
| Practice Telephone | 6516459887 |
| Practice Fax Number | 6516459884 |
| Mailing Telephone | 6516459887 |
| Mailing Fax Number | 6516459884 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
2072654 | MN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902122971 | Kelly Z. Conrad | Counselor | 13218 Brooklane Dr, Hagerstown, MD 21742-1435 | 2010-04-15 |
| Street Address |
346 LARPENTEUR AVE W |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55113-6712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750896304 | Shannon Marie Claflin | Counselor | 346 Larpenteur Ave W, Saint Paul, MN 55113-6712 | 2017-12-05 |
| 1649425372 | Care Planners Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 346 Larpenteur Ave W, Saint Paul, MN 55113 | 2008-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578198677 | Home Care Nurse Solutions | Registered Nurse | 1902 Fairmount Ave, Saint Paul, MN 55105-1538 | 2020-03-09 |
| 1639736150 | Hassan Hussein Sirat | Registered Nurse | 1068 Raymond Ave Apt 204, Saint Paul, MN 55108-1535 | 2019-05-20 |
| 1134633704 | Overcomer Healthcare Service Corporation | Registered Nurse | 1238 Birmingham St, Saint Paul, MN 55106-2116 | 2017-11-18 |
| 1306368956 | Kong Yang | Registered Nurse | 1261 Payne Ave # 102, Saint Paul, MN 55130-3668 | 2017-07-14 |
| 1679094304 | Lisa Pouliot | Registered Nurse | 2356 University Ave W Ste 220, Saint Paul, MN 55114-1850 | 2017-07-03 |
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1184152084 | Mai Nhia Vang | Registered Nurse | 1261 Payne Ave Ste 102, Saint Paul, MN 55130-3668 | 2017-05-23 |
| 1548700677 | Susan Nduta Apollo | Registered Nurse | 2316 Londin Ct E # 28, Saint Paul, MN 55119-5517 | 2017-03-08 |
| 1255873931 | Bethlehem Kiflom | Registered Nurse | 1800 Graham Ave Unit 330, Saint Paul, MN 55116-1371 | 2016-11-10 |
| 1598207797 | Alemu Jirane | Registered Nurse | 1327 Maynard Dr E Apt 545, Saint Paul, MN 55116-2977 | 2016-11-06 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55113 |
Please comment or provide details below to improve the information on KELLY MARIE CONRAD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.