Individual provider Active NPI

Anne Reynolds Conrad, RN, BSN, MS

  • Registered Nurse
  • Lutherville, MD
National Provider Identifier
1871852715
Registry record updated May 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R079926 Issued in MD
Practice address
1313 Burleigh Rd
Lutherville, MD 21093-5531
Phone
(410) 375-1790
NPI assigned
May 13, 2012
Last updated
May 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R079926 MD Primary

Addresses

Primary practice location

1313 Burleigh Rd
Lutherville, MD 21093-5531

Mailing address

1313 Burleigh Rd
Lutherville, MD 21093-5531
Phone (410) 375-1790

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
Bachelor on Science - Nursing, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R079926MDMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1336867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336867200000",
    "number": "1871852715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 BURLEIGH RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935531",
            "telephone_number": "410-375-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 BURLEIGH RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935531",
            "telephone_number": "410-375-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "ANNE",
        "middle_name": "REYNOLDS",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-13",
        "last_updated": "2012-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R079926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.