Active NPI
Jennifer M Conidi, APRN-CNP
- Pediatric Nurse Practitioner
- New Philadelphia, OH
National Provider Identifier
1730787474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN.CNP.0027259
- Practice address
- 1045 W High Ave
New Philadelphia, OH 44663-2071 - Phone
- (330) 308-5432
- NPI assigned
- Oct 14, 2020
- 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 | APRN.CNP.0027259 | OH | Primary |
Addresses
Primary practice location
1045 W High Ave
New Philadelphia, OH 44663-2071
Mailing address
1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 543-5432
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0027259 | OH | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akron Children'S Hospital | Current | Accepting new patients | |
| Children'S Hospital Medical Center of Akron | Past | Accepting new patients | |
| Children'S Hospital Medical Center of Akron | Past | Accepting new patients |
Locations
1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050
Interoperability endpoints
- jconidi9180@direct.chmca.org
Organizations & group practices 3
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
- Akron, OH
- NPI 1942465752
-
- Home Infusion Agency
- Akron, OH
- NPI 1649485848
-
- Pediatrics Physician
- Akron, OH
- NPI 1841328853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1730787474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PERKINS SQ",
"city": "AKRON",
"state": "OH",
"postal_code": "443081063",
"telephone_number": "330-543-5432",
"fax_number": "330-339-5912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 W HIGH AVE",
"city": "NEW PHILADELPHIA",
"state": "OH",
"postal_code": "446632071",
"telephone_number": "330-308-5432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONIDI",
"first_name": "JENNIFER",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-14",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "APRN.CNP.0027259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Philadelphia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.