Pam Conrad

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

2618671 Issued in OH

Practice address

56 1/2 N Main St
Mount Gilead, OH 43338-1319

Phone

(419) 210-6016

NPI assigned

Jun 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528588800000",
    "number": "1548753098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 1/2 N MAIN ST",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381319",
            "telephone_number": "419-210-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 1/2 N MAIN ST",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381319",
            "telephone_number": "419-210-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "PAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-10",
        "last_updated": "2018-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "2618671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Lynn Charnas
• Jacob Joseph Chevlen, DO
• Loren Coleman-Cronenwett
• Complete Eye Care, LLC
• Dodie Conkel, LSW, CDCA
• Charles Edward Conti Jr., LPC
• Jazmine Cornell
• Michael Dewayne Cox, RPH, MBA
• Peggy Marie Craig, RN
• Mindy Crowe, CDCA

• Home Health Aide in Mount Gilead, OH
• Providers in Mount Gilead, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2018; 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.