Teresa Conard, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-076178 Issued in AL

Practice address

431 S 5TH St
Gadsden, AL 35901-5101

Phone

(256) 547-3822

NPI assigned

May 22, 2020

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

Other names 1

• Teresa Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Partners Medical Clinic LLC

  • Family Medicine Physician
  • Gadsden, AL
  • NPI 1316278880
  NPD

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601769600000",
    "number": "1124641220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 S 5TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 S 5TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015101",
            "telephone_number": "256-547-3822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4250 River Chase Dr",
            "address_purpose": "LOCATION",
            "city": "Southside",
            "state": "AL",
            "postal_code": "359077093",
            "country_code": "US",
            "telephone_number": "256-490-7120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONARD",
        "first_name": "TERESA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-076178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "JOHNSON",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Complete Family Care, LLC
• Complete Medical Care, P.C.
• Complete Medical, Inc
• Complete Systems Inc
• Alex Kane Compton, DMD
• Connect ABA, LLC
• Odeane H Connor, MD
• Marah Oma Contris, ALC
• Convergence Free Will Intervention
• Leia Cook

• All providers in Gadsden, AL
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; 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.