Jessica Conrad, C.R.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R150029 Issued in MD

Practice address

150 Infirmary Way
Amherst, MA 01003-9288

Phone

(413) 577-5000

NPI assigned

Jun 5, 2006

Last updated

Jan 20, 2011By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Umass Health Services Amherst

  • Family Medicine Physician
  • Amherst, MA
  • NPI 1487688677

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1316986417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 INFIRMARY WAY",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010039288",
            "telephone_number": "413-577-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 INFIRMARY WAY",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010039288",
            "telephone_number": "413-577-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "JESSICA",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R150029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401543600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Hsu, LLC
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• Haiying Fay Conover, LICAC, MAOM, LMT
• Michael James Constantino, PH.D.
• Stephanie Conway
• Matthew Ryan Cook, A.T.C., L.A.T.
• James William Cooksy, LICSW, LADC-I
• George A. Corey, MD

• Nurse Practitioner in Amherst, MA
• Providers in Amherst, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.