Active NPI
Sharyn N Conrad, DNP, FNP-BC
- Family Nurse Practitioner
- Winston Salem, NC
National Provider Identifier
1730180928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200933
- Practice address
- 1381 Westgate Center Dr
Winston Salem, NC 27103-2934 - Phone
- (336) 718-0100
- Fax
- (336) 718-0120
- NPI assigned
- Aug 10, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200933 | NC | Primary |
Addresses
Primary practice location
1381 Westgate Center Dr
Winston Salem, NC 27103-2934
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 718-0100
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
Interoperability endpoints
- sharyn.conrad.1@33241.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1730180928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751803",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751803",
"telephone_number": "336-718-0100",
"fax_number": "336-718-0120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1381 WESTGATE CENTER DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032934",
"telephone_number": "336-718-0100",
"fax_number": "336-718-0120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "SHARYN",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "DNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-10",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "200933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.