Individual provider Active NPI

Hannah Keziah Conrad, MS

  • Speech-Language Pathologist
  • Flagstaff, AZ
National Provider Identifier
1952914913
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
802 W Murray Rd
Flagstaff, AZ 86001-1238
Phone
(574) 229-1889
NPI assigned
Aug 28, 2020
Last updated
Aug 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

802 W Murray Rd
Flagstaff, AZ 86001-1238

Mailing address

802 W Murray Rd
Flagstaff, AZ 86001-1238
Phone (574) 229-1889

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211124001264 AZ Practitioner - Qualified Speech Language Pathologist 8325438872 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Az BD of Regents for on Behalf of Northern Az University CurrentSince Nov 17, 2021 Accepting new patients
Northern Arizona University Current Accepting new patients

Locations

208 E Pne Knl Dr
Flagstaff, AZ 86011
Phone (928) 523-5122

912 Riordan Rd
Flagstaff, AZ 86011
Phone (928) 523-1695

912 Riordan Rd
Bldg 27 A
Flagstaff, AZ 86011
Phone (928) 523-6773

Organizations & group practices 2

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1952914913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W MURRAY RD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011238",
            "telephone_number": "574-229-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W MURRAY RD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011238",
            "telephone_number": "574-229-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "HANNAH",
        "middle_name": "KEZIAH",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.