Individual provider Active NPI

Yvonne Conard, PA-C

  • Medical Physician Assistant
  • Dallas, TX
National Provider Identifier
1588049613
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA09863 Issued in TX
Practice address
2650 Cedar Springs Rd
#5535
Dallas, TX 75201-1495
Phone
(415) 710-0585
NPI assigned
Jul 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA09863 TX Primary

Addresses

Primary practice location

2650 Cedar Springs Rd
#5535
Dallas, TX 75201-1495

Mailing address

4415 Munger Ave Unit 1
Dallas, TX 75204-4421
Phone (415) 710-0585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151021001230 TX Practitioner - Physician Assistant 0840509485 Reassigns benefits to 1 organization
I20241114000584 NY Practitioner - Physician Assistant 0840509485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
029177NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of North Texas PA CurrentSince Dec 15, 2017 Accepting new patients
Radiology Associates of North Texas PA CurrentSince Dec 15, 2017 Accepting new patients

Locations

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

Organizations & group practices 2

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": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1588049613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 MUNGER AVE UNIT 1",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752044421",
            "telephone_number": "415-710-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 CEDAR SPRINGS RD",
            "address_2": "#5535",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752011495",
            "telephone_number": "415-710-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONARD",
        "first_name": "YVONNE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA09863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.