Conrad Warren Winn, SPEECH PATHOLOGIST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4295 Issued in CA

Practice address

11 Ranchview Rd
Rolling Hills Estates, CA 90274-2433

Phone

(310) 375-2332

Fax

(310) 378-4028

NPI assigned

Dec 31, 2009

Sex

Male

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

Practice roles

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.

• Winn Speech Pathology, a Professional Corporation

  • Speech-Language Pathologist
  • Rolling Hills Estates, CA
  • NPI 1104158252
  NPD (past) Authorized official

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1396075032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4866",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902749637",
            "telephone_number": "310-375-2332",
            "fax_number": "310-378-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RANCHVIEW RD",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902742433",
            "telephone_number": "310-375-2332",
            "fax_number": "310-378-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINN",
        "first_name": "CONRAD",
        "middle_name": "WARREN",
        "name_prefix": "Mr.",
        "credential": "SPEECH PATHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "4295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace H. Wakugawa, CRNA
• Anne Walker
• Anthony Ray Waters, MPT
• Edward W Wilson, RAS
• Winn Speech Pathology, a Professional Corporation
• Stephanie Wischmann
• Angela Witt, LPCC
• Jeffrey A. Wolf, M.D.
• Amy Wong, PHARMD
• Bahiya Wright

• Speech-Language Pathologist in Rolling Hills Estates, CA
• Providers in Rolling Hills Estates, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.