Individual provider Active NPI

Stephanie Johns Conrad, MD

  • Pediatric Critical Care Medicine Physician
  • Nashville, TN
National Provider Identifier
1487813135
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
52494 Issued in TN
Practice address
5121 Doctors Office Tower
2200 Children'S Way
Nashville, TN 37232-9075
Phone
(615) 936-1302
Fax
(615) 936-3467
NPI assigned
Jun 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 52494 TN Primary
Pediatrics Physician 208000000X 52494 TN

Addresses

Primary practice location

5121 Doctors Office Tower
2200 Children'S Way
Nashville, TN 37232-9075

Mailing address

5121 Doctors Office Tower
2200 Children'S Way
Nashville, TN 37232-9075
Phone (615) 936-1302

Other names 1

  • Stephanie Lynn Johns Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150715000448 TN Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 6709055163 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52494TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Apr 6, 2020 Accepting new patients
Vanderbilt University Medical Center Pediatrics CurrentSince Apr 30, 2016 Accepting new patients
Erlanger Health Pediatrics CurrentSince Jul 1, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority Pediatrics CurrentSince Apr 6, 2020 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients

Locations

Dept AT 40379
Atlanta, GA 31192

Dept A T 40379
Atlanta, GA 31192

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

910 Blackford St
Chattanooga, TN 37403
Phone (423) 778-4044

200 Strahl St
Franklin, TN 37064
Phone (615) 550-5034

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

2200 Childrens Way
Ofc
Nashville, TN 37232
Phone (615) 936-0249

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Interoperability endpoints

  • Direct secure messaging: sconrad20715@direct.vumc.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1212796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1487813135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 DOCTORS OFFICE TOWER",
            "address_2": "2200 CHILDREN'S WAY",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372329075",
            "telephone_number": "615-936-1302",
            "fax_number": "615-936-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 DOCTORS OFFICE TOWER",
            "address_2": "2200 CHILDREN'S WAY",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372329075",
            "telephone_number": "615-936-1302",
            "fax_number": "615-936-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "STEPHANIE",
        "middle_name": "JOHNS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-07",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "TN",
            "license": "52494",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "52494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "JOHNS",
            "middle_name": "LYNN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.