Colton Ryan Conrad

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

AZ00017866 Issued in AZ

Practice address

19601 N Black Canyon Hwy Ste 101
Phoenix, AZ 85027-4107

Phone

(855) 223-7123

NPI assigned

Nov 5, 2025

Sex

Male

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

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1619847712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740780",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740780",
            "telephone_number": "855-223-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19601 N BLACK CANYON HWY STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274107",
            "telephone_number": "855-223-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "COLTON",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-05",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "AZ",
            "license": "AZ00017866",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette D Connor, PT
• Kelly Ann Madeline Connors, CSA
• Danielle Conol
• Zacherie Conover, M.D.
• Christina Marie Conrad, D.O.
• Cynthia Lee Conrad, D.C.
• Laura Conrad
• Stephanie C Conrad, DO
• Stephen Joseph Conrad, D.D.S.
• William T Conrad, MA.ED.

• Basic Emergency Medical Technician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Basic Emergency Medical Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.