JENNIFER ANN CONRAD (NPI# 1427474972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427474972 |
Entity Type | Individual |
Full Name | JENNIFER ANN CONRAD |
Credential | NP-C |
Practice Address |
41755 Heller Springs Rd Anza CA 92539-8846 |
Mailing Address |
72047 Dinah Shore Dr Suite #c-4 Rancho Mirage CA 92270-1790 |
Practice Telephone | 9513233337 |
Mailing Telephone | 7607707600 |
Mailing Fax Number | 7607700500 |
Enumeration Date | 2014-03-07 |
Last Update Date | 2015-10-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95000499 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730667213 | Jennifer M Conrad | Early Intervention Provider Agency | 24 Neptune Pl, Massapequa, NY 11758-7628 | 2018-08-06 |
1891221552 | Jennifer Conrad | Speech-Language Pathologist | 906 Palora Cir, Nebraska City, NE 68410-3371 | 2017-05-02 |
1457626384 | Jennifer Conrad | Pharmacist | 7776 Winghaven Blvd, O Fallon, MO 63368-3601 | 2012-03-10 |
1043853468 | Jennifer Nicole Conrad | Nurse Practitioner | 601 E Rollins St, Orlando, FL 32803-1248 | 2019-10-18 |
1124512769 | Jennifer Conrad | Community Health Worker | 11 Graham Dr, Athens, OH 45701-1430 | 2018-06-18 |
1326584210 | Jennifer Conrad | Physical Therapist | 111 Perrymont Rd, Pittsburgh, PA 15237-5246 | 2017-01-16 |
1841567054 | Jennifer Jayne Conrad | Pharmacist | 330 Sw Ward Rd, Lees Summit, MO 64081-2445 | 2011-11-17 |
1346476371 | Jennifer Ann Conrad | Dental Hygienist | 1205 W Mcdermott Dr, Allen, TX 75013-6305 | 2009-06-04 |
1346466471 | Jennifer Ann Horan Conrad | Social Worker | 155 Inverness Dr W, Englewood, CO 80112-5095 | 2007-04-17 |
1528197910 | Jennifer L Conrad | Massage Therapist | 11108 Woodland Ave E Ste A, Puyallup, WA 98373-5893 | 2007-03-03 |
Street Address |
41755 HELLER SPRINGS RD |
City | ANZA |
State | CA |
Zip Code | 92539-8846 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619000775 | Anza Community Medical Center | Clinic/Center | 56480 Highway 371, Anza, CA 92539 | 2007-03-14 |
1730656349 | Olusoji Akanwo | Pharmacist | 56555 Hwy 371, Anza, CA 92539 | 2018-11-01 |
1942623657 | Borrego Community Health Foundation | Clinic/Center | 58581 Us Highway 371, Suites F, G, & H, Anza, CA 92539 | 2014-01-31 |
1942485610 | Anza Community Medical Center Corp | Clinic/Center | 56480 Highway 371, Anza, CA 92539 | 2007-12-31 |
1316034333 | Rite Time Pharmaceuticals Inc | Pharmacy | 56555 Hwy 371, Anza, CA 92539-0415 | 2006-10-10 |
1376744326 | Anza Medical Center | Clinic/Center | 56030 Highway 371, Anza, CA 92539-0799 | 2007-05-29 |
1700357845 | Tyler James Anderson | Driver | 39100 Contreras Rd Ste D, Anza, CA 92539-8724 | 2018-12-16 |
1659424885 | Riverside-san Bernardino County Indian Health, Inc. | Clinic/Center | 39100 Contreras Rd, Suite C, Anza, CA 92539-8724 | 2007-01-19 |
1770936635 | Glenn Petillo | Home Health Aide | 37802 Fischer Rd, Anza, CA 92539-9203 | 2016-07-15 |
1093964009 | Susan Crane | Social Worker | 38390 Mcdonald Ln, Anza, CA 92539-9256 | 2008-09-15 |
Find all providers in zip 92539 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
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1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
Find all providers with the same taxonomy |
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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.