Payton Conrad

Primary specialty

Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X

License

91778 Issued in NE

Practice address

1425 Maly Blvd
Wahoo, NE 68066-4149

Phone

(630) 397-1572

NPI assigned

Feb 10, 2025

Last updated

Feb 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1053126987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 WILLIAM ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 MALY BLVD",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680664149",
            "telephone_number": "630-397-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "PAYTON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "NE",
            "license": "91778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Chall
• Joan Chapman
• Abigail Kay Chase, APRN
• Keith Robert Chvatal, DC
• City of Wahoo (Wahoo Rescue Squad)
• Emily L Coufal
• CRMT Inc (Hospice and Home Healthcare of Saunders County)
• CRMT Inc (Hospice and Home Healthcare of Saunders County)
• CRMT Inc. (Home Medical Supplies of Saunders County)
• Cameron Curtis

• Neonatal Intensive Care Registered Nurse in Wahoo, NE
• Providers in Wahoo, NE by specialty
• Neonatal Intensive Care Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.