Mikenzie Conrad

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14401582 Issued in WI

Practice address

1191 County Road II
Neenah, WI 54956-1948

Phone

(920) 751-6975

NPI assigned

Jun 3, 2026

Sex

Female

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": "1780444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1770415523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 CHERRYVALE AVE APT 81",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549139027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 COUNTY ROAD II",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549561948",
            "telephone_number": "920-751-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "MIKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "14401582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boni J Colwitz, RN DIABETES EDUCATOR
• Community Memorial Hospital, Incorporated (d/b/a Breast Surgery Experts of Northeast Wisconsin)
• Compassus Aah of Wisconsin I, LLC (Compassus - Neenah)
• Comprehensive Pain Management of the Fox Valley, S.C.
• Susan Arthur Conkey, O.T.R.
• Mark William Conradt, AU.D.
• Conscious Cultivation Therapies LLC
• Beth L Coopman, PHARMD
• Coraggio LLC
• Corey W Wesner, DPM, SC

• Speech-Language Pathologist in Neenah, WI
• Providers in Neenah, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.