Elisabeth H Conrad, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024166028 Issued in VA

Practice address

9113 Dickey Dr
Mechanicsville, VA 23116-2502

Phone

(804) 559-7280

Fax

(804) 559-7282

NPI assigned

Sep 27, 2006

Last updated

Jul 21, 2016By 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)

Enrolled

Credentials

Nurse Practitioner

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.

• Bon Secours Memorial Regional Medical Center

  dba Richmond Diabetes and Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Mechanicsville, VA
  • NPI 1225263940
  NPD (past)
• Bon Secours Memorial Regional Medical Center Inc

  dba Bon Secours Internal Medicine of Ashland

  • Internal Medicine Physician
  • Ashland, VA
  • NPI 1366475642
  NPD (past)
• Bon Secours Memorial Regional Medical Center Inc

  dba Hanover Pediatrics

  • Pediatrics Physician
  • Mechanicsville, VA
  • NPI 1740585207
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1336230515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9113 DICKEY DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162502",
            "telephone_number": "804-559-7280",
            "fax_number": "804-559-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9113 DICKEY DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162502",
            "telephone_number": "804-559-7280",
            "fax_number": "804-559-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "ELISABETH",
        "middle_name": "H",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024166028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06115",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenley Conley, MSN, RN, ACCNS-AG
• Michelle A Connatser, MS
• Connect Transit, LLC
• Connected Solutions Group, LLC
• Sarah Connolly, DPT
• Becky Conti
• Continental Emergency Services LLC
• Donna L Conway, RN, MS, CPNP
• Theresa Ann Conyngham, CSA
• Caroline G Cook

• Nurse Practitioner in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.