Active NPI
Vaun Kay Conrad, ARNP
- Pediatric Nurse Practitioner
- Ocala, FL
National Provider Identifier
1649269762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP1671172
- Practice address
- 7960 SW 60TH Ave
Ocala, FL 34476-6457 - Phone
- (352) 671-6741
- Fax
- (352) 671-6742
- NPI assigned
- Oct 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP1671172 | FL | Primary |
Addresses
Primary practice location
7960 SW 60TH Ave
Ocala, FL 34476-6457
Mailing address
11707 SE 174TH Loop
Summerfield, FL 34491-7834
Phone (352) 629-0137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0334154-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1671172 | FL | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1649269762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11707 SE 174TH LOOP",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "344917834",
"telephone_number": "352-629-0137",
"fax_number": "352-694-4824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7960 SW 60TH AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344766457",
"telephone_number": "352-671-6741",
"fax_number": "352-671-6742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "VAUN",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-20",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP1671172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0334154-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.