Kayla Conrad, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209021842 Issued in IL

Practice address

8711 W Cermak Rd
North Riverside, IL 60546-1166

Phone

(708) 442-7979

Fax

(708) 442-8574

NPI assigned

Sep 18, 2015

Last updated

Sep 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24409/brand/1/csg/1/fhir/r4
• Direct secure messaging: kayla.conrad.1@24409.direct.athenahealth.com
• Direct secure messaging: kconrad134837@ehr.johnmuirhealth.com

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.

• FGM Pediatrics SC

  • Pediatrics Physician
  • North Riverside, IL
  • NPI 1780633313
  NPD (past)

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1629447701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 W CERMAK RD",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461166",
            "telephone_number": "708-442-7979",
            "fax_number": "708-442-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8711 W CERMAK RD",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461166",
            "telephone_number": "708-442-7979",
            "fax_number": "708-442-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "KAYLA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021842",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005582",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "783207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicago Mall Dental, LLC (North Riverside Park Mall Dental)
• Mindy Chui
• CLC Vision LLC (American Vision Center)
• Colors of Hope
• Comprehensive Therapeutics LTD
• Cook County (Cook County Health at North Riverside Health (FFS))
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Optical #1153)
• Costco Wholesale Corporation (Costco Hearing Aid #1153)
• Crystal Smiles Dental

• Family Nurse Practitioner in North Riverside, IL
• Providers in North Riverside, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.