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
- Last updated
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.