Nicole Konrade

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17-03441 Issued in KS

Practice address

818 Ann Ave
Kansas City, KS 66101

Phone

(785) 232-2044

NPI assigned

May 27, 2020

Last updated

May 27, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Midland Care Connection, Inc.

  dba Midland Hospice Care

  • Community Based Hospice Care Agency
  • Topeka, KS
  • NPI 1962441378
  NPD (past)

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1558984336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11860 83RD TER APT 6311",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154522",
            "telephone_number": "785-220-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 ANN AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66101",
            "telephone_number": "785-232-2044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4910 Corporate Centre Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660471002",
            "country_code": "US",
            "telephone_number": "785-727-7614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONRADE",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2018038321",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-03441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Jacob Koliba Lawler, MD
• Millie Kolich, ARNP
• Divya Kompella
• Maria Kondrashova, DO
• Brian Kongs
• Brandon Patrick Koontz, FNP-C
• Brian R Kopp, PTA
• Lily Koppen, LMSW
• Preston Brent Koprivica, M.D., M.P.H.
• Richard A Korentager, M.D.

• Occupational Therapist in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.

Verify at the official NPI Registry.