MRS. TAYLOR CONRAD (NPI# 1407322860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407322860 |
| Entity Type | Individual |
| Full Name | MRS. TAYLOR CONRAD |
| Credential | MS, RDN, LD |
| Practice Address |
7405 Renner Rd Shawnee KS 66217-9414 |
| Mailing Address |
618 Dixie St Liberty MO 64068-2209 |
| Practice Telephone | 9139459754 |
| Mailing Telephone | 8168120936 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 2284 | KS | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | 2018016422 | MO | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 86040807 | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4810 State Ave, Kansas City, KS 661021748 | 9139459754 | |
| 6420 N Prospect Ave, Gladstone, MO 641191530 | 9139459754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417595778 | Taylor Conrad | Licensed Practical Nurse | 20 Bay View Ter, Geneva, NY 14456-9768 | 2019-12-18 |
| 1255938981 | Taylor Lauren Conrad | Chiropractor | 4 Enterprise Ave Ne Ste 1, Isanti, MN 55040-6814 | 2020-10-06 |
| 1205290830 | Taylor Steven Hollier Conrad | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave # 1228, Emergency Medicine, Brooklyn, NY 11203-2012 | 2016-04-10 |
| Street Address |
7405 RENNER RD |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66217-9414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619971082 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2005-06-13 |
| 1164037925 | Kailey Spero | Physical Therapist | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2020-09-09 |
| 1801435052 | Rebecca Elizabeth Holt | Family Medicine | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2020-01-04 |
| 1639667041 | Dayna Grace Campbell | Nurse Practitioner | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2018-05-01 |
| 1528572286 | Mary Therese Sydzyik | Physical Therapist | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2017-11-16 |
| 1306376892 | Emily Marie O'laughlin | Physical Therapist | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2017-06-15 |
| 1851848352 | Jenna Koepke | Nurse Practitioner | 7405 Renner Rd, Shawnee, KS 66217 | 2016-09-01 |
| 1164870093 | Traci Smiley | Physical Therapist | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2016-06-01 |
| 1255709580 | Madison Dahl | Dietitian, Registered | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2015-09-03 |
| 1043691363 | Daniel Jacob Love | Nurse Practitioner | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2015-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438801 | Hope Bazille | Behavioral Analyst | 17210 Midland Dr, Shawnee, KS 66217 | 2019-03-29 |
| 1023574126 | Andrea Corrales | Behavioral Analyst | 17210 Midland Drive, Shawnee, KS 66217 | 2019-02-13 |
| 1164824744 | Amy M Brettman | Internal Medicine | 7230 Renner Road, Shawnee, KS 66217 | 2014-09-25 |
| 1811232622 | U.S. Pt Therapy Services Inc. | Physical Therapist | 7448 West Frontage Road, Merriam, KS 66217 | 2012-12-05 |
| 1508179193 | Capstone Dentistry, LLC | Clinic/Center | 17212 Midland Dr, Shawnee, KS 66217 | 2010-07-23 |
| 1417014010 | Jo Jeanne Callaway | Psychiatry & Neurology | 5400 Lackman Road, Shawnee, KS 66217 | 2007-01-02 |
| 1316009111 | Eye Associates of Shawnee Pa | Optometrist | 15951 W 65th St, Shawnee, KS 66217 | 2006-12-15 |
| 1255492633 | Stephanie Lynn Caldwell | Physician Assistant | 7405 Renner Road, Shawnee, KS 66217 | 2006-12-12 |
| 1215029392 | George J Bures Jr. | Family Medicine | 7255 Renner Rd., Shawnee, KS 66217 | 2006-09-28 |
| 1790719276 | Minnie J Baldridge | Audiologist | 15939 W 65th St, Shawnee, KS 66217 | 2006-07-10 |
| Find all providers in zip 66217 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255772059 | Laura E Hernandez | Dietitian, Registered | 7100 Aminda Dr, Shawnee, KS 66227-2116 | 2013-07-10 |
| 1568695401 | Judy Ann Wegman | Dietitian, Registered | 18601 Midland Drive, Shawnee, KS 66218 | 2009-08-26 |
| 1164686655 | Carrye Luree Wells | Dietitian, Registered | 804 E Georgia St, Shawnee, OK 74804-3039 | 2008-07-14 |
| 1639266414 | Nichole Rene' Johnson | Dietitian, Registered | 2 E. Main Street, Shawnee, OK 74801 | 2006-10-05 |
| 1942795448 | Magdelon Gilbert | Dietitian, Registered | 2345 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2018-06-27 |
| 1558727602 | Morgan Blackstock | Dietitian, Registered | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2016-01-05 |
| 1255709580 | Madison Dahl | Dietitian, Registered | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2015-09-03 |
| 1053745646 | Torie Ann Fuller | Dietitian, Registered | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2013-08-30 |
| 1568802098 | Jennifer Laura Wade | Dietitian, Registered | 13550 W 63rd St, Shawnee, KS 66216-3814 | 2013-06-28 |
| 1073958955 | Nicole Gwen Joyner | Dietitian, Registered | 13550 W 63rd St, Hy-vee, Inc., Shawnee, KS 66216-3814 | 2013-05-06 |
| Find all providers in SHAWNEE | ||||
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| 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.