Individual provider Active NPI

Kara Nichole Feeney Conrad, AUD

  • Audiologist
  • High Point, NC
National Provider Identifier
1811145360
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
8444 Issued in NC
Practice address
624 Quaker LN
Ste. 208C
High Point, NC 27262-3832
Phone
(336) 781-4050
Fax
(336) 781-4051
NPI assigned
Sep 8, 2008
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 8444 NC Primary
Audiologist-Hearing Aid Fitter 237600000X
Hearing Instrument Specialist 237700000X 1291 NC

Addresses

Primary practice location

624 Quaker LN
Ste. 208C
High Point, NC 27262-3832

Mailing address

624 Quaker LN
Ste. 207C
High Point, NC 27262-3832
Phone (336) 883-2500

Other identifiers 1

IdentifierTypeStateIssuer
1811145360MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081120000891 NC Practitioner - Qualified Audiologist 7315007341 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8444NCMDMental Health Counselor
1291NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Sep 1, 2018 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Jan 5, 2015 Accepting new patients
Caldwell Memorial Hospital, Inc Current Accepting new patients
Cornerstone Health Care, PA CurrentSince Jan 5, 2015 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Caldwell Memorial Hospital, Inc Current Accepting new patients
Caldwell Memorial Hospital, Inc CurrentSince Jun 1, 2014 Accepting new patients

Locations

4355 Hickory Blvd
Ste 1
Granite Falls, NC 28630
Phone (828) 757-8251

624 Quaker Ln
Ste 207C
High Point, NC 27262
Phone (336) 883-2500

624 Quaker Ln
Ste 208C
High Point, NC 27262
Phone (336) 781-4050

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

322 Mulberry St SW
Ste C
Lenoir, NC 28645
Phone (828) 757-6464

106 W Medical Park Dr
Ste C
Lexington, NC 27292
Phone (336) 249-3551

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1811145360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 QUAKER LN",
            "address_2": "STE. 207C",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623832",
            "telephone_number": "336-883-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 QUAKER LN",
            "address_2": "STE. 208C",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623832",
            "telephone_number": "336-781-4050",
            "fax_number": "336-781-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "KARA",
        "middle_name": "NICHOLE FEENEY",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "8444",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NC",
            "license": "1291",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811145360",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.