Alyssa Carolyn Conrad

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

5287 Issued in CA

Practice address

970 Calle Amanecer Ste a
San Clemente, CA 92673-6250

Phone

(949) 648-3731

NPI assigned

Apr 17, 2019

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1093378887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BREEZY MDWS",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926888521",
            "telephone_number": "949-300-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 CALLE AMANECER STE A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736250",
            "telephone_number": "949-648-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "ALYSSA",
        "middle_name": "CAROLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "5287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie Taylor Collins, MS, OTR/L
• Beverly Combs, RPH
• Comprehensive Medical Services
• Comprenhensive Vocational Services
• Cassandra Eve Conlin, OTR/L
• Contemporary Healthcare Medical Group, Inc.
• Christopher Reed Cook, R.D.H
• Coppola Chiropractic Inc.
• Michael Anthony Coppola Jr., D.C.
• Jay Cost, PT

• Speech-Language Assistant in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.