Active NPI
Katelyn Conrad, ARNP
- Nurse Practitioner
- Ankeny, IA
National Provider Identifier
1295118503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A129115
- Practice address
- 2605 SW White Birch Drive
Ankeny, IA 50023-7204 - Phone
- (515) 643-7100
- Fax
- (515) 643-7145
- NPI assigned
- Jul 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A129115 | IA | Primary |
Addresses
Primary practice location
2605 SW White Birch Drive
Ankeny, IA 50023-7204
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-7100
Other names 1
- Katelyn Elizabeth Elsberry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1295118503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-643-7100",
"fax_number": "515-643-7145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 SW WHITE BIRCH DRIVE",
"city": "ANKENY",
"state": "IA",
"postal_code": "500237204",
"telephone_number": "515-643-7100",
"fax_number": "515-643-7145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "KATELYN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-06",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A129115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATELYN",
"last_name": "ELSBERRY",
"middle_name": "ELIZABETH",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.