Richard William Conway

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

2489267 Issued in MN

Practice address

9466 S Kimble Rd
Pequot Lakes, MN 56472-3838

Phone

(714) 204-6940

NPI assigned

Dec 18, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1639785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641600000000",
    "number": "1720748726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9466 S KIMBLE RD",
            "city": "PEQUOT LAKES",
            "state": "MN",
            "postal_code": "564723838",
            "telephone_number": "714-204-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9466 S KIMBLE RD",
            "city": "PEQUOT LAKES",
            "state": "MN",
            "postal_code": "564723838",
            "telephone_number": "714-204-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "RICHARD",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-18",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MN",
            "license": "2489267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brainerd Medical Center Inc
• Courtney M. Budge, MA CCC-SLP
• Ryan Dennis Buell, DC
• Caring Hearts Senior Community, LLC
• Changing Strides Therapy LLC
• Crow Wing & Cass Cos Ind School Dist No 186
• Joshua Alan Dietze, DC
• Darren Lee Golden, RPH
• Mindy Sue Howard
• Nadine Indihar, DC

• Emergency Registered Nurse in Pequot Lakes, MN
• Providers in Pequot Lakes, MN by specialty
• Emergency Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; 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.