Active NPI
Alyssa J Conrad, NUTRITIONIST PN
- Nutritionist
- Katy, TX
National Provider Identifier
1417543273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 1432 FM 1463 Rd
Katy, TX 77494-5478 - Phone
- (281) 395-2225
- NPI assigned
- Dec 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | TX | Primary |
Addresses
Primary practice location
1432 FM 1463 Rd
Katy, TX 77494-5478
Mailing address
1432 FM 1463 Rd
Katy, TX 77494-5478
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | PatientPortal | Health Information Exchange (HIE) | |
| CONNECT URL | Portal | Health Information Exchange (HIE) |
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)
- Not enrolled
- Credentials
- Advanced Practice Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott a Balin DC, PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Katy, TX
- NPI 1750755013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1417543273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 FM 1463 RD",
"city": "KATY",
"state": "TX",
"postal_code": "774945478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 FM 1463 RD",
"city": "KATY",
"state": "TX",
"postal_code": "774945478",
"telephone_number": "281-395-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "ALYSSA",
"middle_name": "J",
"credential": "NUTRITIONIST PN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-16",
"last_updated": "2020-12-16",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "PatientPortal",
"affiliation": "N",
"endpointDescription": "Portal",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "26319 Bending Pines Ln",
"city": "Katy",
"state": "TX",
"country_code": "US",
"postal_code": "774944727",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Portal",
"affiliation": "N",
"endpointDescription": "PatientPortal",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "26319 Bending Pines Ln",
"city": "Katy",
"state": "TX",
"country_code": "US",
"postal_code": "774944727",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.