Active NPI
Lisa B Conry, M. D.
- Pediatrics Physician
- Birmingham, AL
National Provider Identifier
1699708685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 14909
- Practice address
- 3300 Cahaba Rd Ste 102
Birmingham, AL 35223-2629 - Phone
- (205) 870-7292
- Fax
- (205) 870-3639
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 14909 | AL | Primary |
Addresses
Primary practice location
3300 Cahaba Rd Ste 102
Birmingham, AL 35223-2629
Mailing address
3300 Cahaba Rd Ste 102
Birmingham, AL 35223-2629
Phone (205) 870-7292
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C000079402 | Medicaid | AL | |
| 051079402CON | Other | AL | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14909 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Children'S Hospital of Alabama | Past | Accepting new patients |
Interoperability endpoints
- lconry18960@childrensofalabama.direct-ci.com
Organizations & group practices 1
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.
-
- Children's Hospital
- Birmingham, AL
- NPI 1205935012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1699708685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 CAHABA RD STE 102",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352232629",
"telephone_number": "205-870-7292",
"fax_number": "205-870-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 CAHABA RD STE 102",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352232629",
"telephone_number": "205-870-7292",
"fax_number": "205-870-3639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRY",
"first_name": "LISA",
"middle_name": "B",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "14909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "C000079402",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "051079402CON",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.