Patsy Ann Conrod, FNP B. C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NURU1126 Issued in AK

Practice address

631 Main Street
Bethel, AK 99559-1908

Phone

(907) 543-3773

Fax

(907) 543-3545

NPI assigned

Oct 14, 2010

Last updated

Aug 14, 2024By 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.

• Bethel Family Clinic

  • Federally Qualified Health Center (FQHC)
  • Bethel, AK
  • NPI 1124078019
  NPD (past)
• Bethel Family Clinic

  • Federally Qualified Health Center (FQHC)
  • Bethel, AK
  • NPI 1891279097
  NPD (past)
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Pawhuska IHS Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Pawhuska, OK
  • NPI 1952303190
  NPD (past)

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1447560248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 A WILDLIFE LANE",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995592881",
            "telephone_number": "907-543-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 MAIN STREET",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995591908",
            "telephone_number": "907-543-3773",
            "fax_number": "907-543-3545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Fort St",
            "address_2": "CRH 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837024501",
            "country_code": "US",
            "telephone_number": "208-422-1018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONROD",
        "first_name": "PATSY",
        "middle_name": "ANN",
        "credential": "FNP B. C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "NURU1126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92-0089260",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elda G. Coffey, ANP
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• Amber Leigh Colvin, RD, LD
• Alyssa Condon, PA-C
• Pamela Conrad, OD
• Martha Constantine
• Ethan Cooke
• Jose Cordero
• Isabelita Cordova
• Teresa Renee Cotton, LPC

• Family Nurse Practitioner in Bethel, AK
• Providers in Bethel, AK by specialty
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.