Active NPI
Lou Anne Conrad, NP
- Nurse Practitioner
- Bath, NY
National Provider Identifier
1487752747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F301369-1
- Practice address
- 117 E Steuben St
Bath, NY 14810-1636 - Phone
- (607) 776-3063
- Fax
- (607) 776-1011
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F301369-1 | NY | |
| Women's Health Nurse Practitioner | 363LW0102X | F301369-1 | NY | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | F301369-1 | NY | |
| Nurse Practitioner | 363L00000X | F301369-1 | NY | Primary |
Addresses
Primary practice location
117 E Steuben St
Bath, NY 14810-1636
Mailing address
22 Pine St
Wayland, NY 14572-1044
Phone (585) 728-5905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122858CK | Other | NY | PREFERRED CARE PROVIDER # |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F301369-1 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1487752747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 PINE ST",
"city": "WAYLAND",
"state": "NY",
"postal_code": "145721044",
"telephone_number": "585-728-5905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E STEUBEN ST",
"city": "BATH",
"state": "NY",
"postal_code": "148101636",
"telephone_number": "607-776-3063",
"fax_number": "607-776-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "LOU ANNE",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F301369-1",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "F301369-1",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NY",
"license": "F301369-1",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F301369-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE PROVIDER #",
"identifier": "122858CK",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bath, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.