KRISTIE CONRAD (NPI# 1043433014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043433014 |
Entity Type | Individual |
Full Name | KRISTIE CONRAD |
Other Name | KRISTIE FIZZ |
Credential | PA |
Practice Address |
1590 Medical Dr Suite E Pottstown PA 19464-3247 |
Mailing Address |
28 Rattlesnake Hill Rd Douglassville PA 19518-1715 |
Practice Telephone | 6103264980 |
Practice Fax Number | 6103264435 |
Mailing Telephone | 6103271586 |
Enumeration Date | 2007-04-10 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | MA051325 | PA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619352515 | Kristie Leigh Conrad | Registered Nurse | 47 Fairlawn Ct, Shirley, NY 11967-4403 | 2015-07-21 |
Street Address |
1590 MEDICAL DR SUITE E |
City | POTTSTOWN |
State | PA |
Zip Code | 19464-3247 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255331989 | Robert N Neilson | Obstetrics & Gynecology | 1590 Medical Dr, Suite A, Pottstown, PA 19464-3247 | 2005-07-22 |
1366706939 | M&e Chiropractic LLC | Chiropractor | 1590 Medical Dr, Suite F, Pottstown, PA 19464-3247 | 2012-06-28 |
1326326687 | Lowell Allan Pyke Jr. | Dentist | 1590 Medical Dr, Suite C, Pottstown, PA 19464-3247 | 2011-08-03 |
1407176027 | Sherri Lynn Mccoy | Chiropractor | 1590 Medical Dr, Suite F, Pottstown, PA 19464-3247 | 2010-06-04 |
1962721092 | Dorota Kaminski | Pediatrics | 1590 Medical Dr, Suite E, Pottstown, PA 19464-3247 | 2010-05-28 |
1932339470 | Beth Arlene Maisel | Obstetrics & Gynecology | 1590 Medical Dr, Suite A, Pottstown, PA 19464-3247 | 2009-07-17 |
1568672335 | Leonardo Joseph Galletto | Dentist | 1590 Medical Dr, Suite C, Pottstown, PA 19464-3247 | 2007-05-23 |
1700095171 | Edith Kathryn Jones | Dentist | 1590 Medical Dr, Suite C, Pottstown, PA 19464-3247 | 2007-05-22 |
1326254483 | Kimberly Ann Jones-rudolph | Dentist | 1590 Medical Dr, Suite D, Pottstown, PA 19464-3247 | 2007-05-15 |
1104049188 | Carol Simko | Nurse Practitioner | 1590 Medical Dr, Suite E, Pottstown, PA 19464-3247 | 2007-04-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770051971 | Jennifer Vernon | Counselor | 111 Robinson Street, Pottstown, PA 19464 | 2018-11-06 |
1609356732 | Wisna Serenity Homes Corp | Home Health | 444 North Mount Vernon Ave, Pottstown, PA 19464 | 2018-08-17 |
1164919007 | Katie A Lewis | Counselor | Creative Health Services Inc., 11 Robinson Street, Pottstown, PA 19464 | 2018-04-17 |
1326564998 | Dana Marie Skilton | Counselor | 11 Robinson Ave, Pottstown, PA 19464 | 2017-08-16 |
1629425954 | Edith Mary French | Registered Nurse | 1630 East High Street, Bldg #4, Pottstown, PA 19464 | 2016-05-17 |
1215314547 | Amy Lynne Campos | Counselor | 1200 E. High St. Suite 202, Pottstown, PA 19464 | 2015-05-06 |
1417346560 | Erica L Avello | Psychologist | 404 E High Street, Pottstown, PA 19464 | 2015-01-13 |
1336559145 | Beth Sue Desch | Dental Hygienist | 11 Robinson St. Suite 100, Pottstown, PA 19464 | 2014-05-01 |
1043638414 | Claudia Baumert | Dietitian, Registered | 555 E High Sreet, Pottstown, PA 19464 | 2014-04-02 |
1770922692 | Marie Elizabeth Bisconti | Optometrist | 264 Upland Square Dr, Pottstown, PA 19464 | 2013-06-25 |
Find all providers in zip 19464 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902189863 | Louba Block | Physician Assistant | 66 Glocker Way, Pottstown, PA 19465-9656 | 2011-09-27 |
1548354491 | Melissa Ziegler | Physician Assistant | 1610 Medical Dr Ste 101, Pottstown, PA 19464 | 2006-10-03 |
1952363681 | Linda Elaine Donath | Physician Assistant | 119 Shoemaker Rd, Pottstown, PA 19464-6429 | 2006-04-06 |
1649880584 | Kayla Ann Gabbett | Physician Assistant | 1555 Medical Dr, Pottstown, PA 19464-3224 | 2020-08-05 |
1992342018 | Rachel Alba | Physician Assistant | 1597 Medical Dr, Pottstown, PA 19464-3224 | 2019-12-09 |
1053976571 | Shelby Jae Walker | Physician Assistant | 1555 Medical Dr, Pottstown, PA 19464-3224 | 2019-05-09 |
1427515428 | Matthew Natale | Physician Assistant | 1600 E High St, Pottstown, PA 19464-5093 | 2019-02-26 |
1316422363 | Aaron Craig Serulneck | Physician Assistant | 1329 E High St, Pottstown, PA 19464-4949 | 2018-09-26 |
1871002022 | Jennifer Nemes | Physician Assistant | 1600 E High St, Pottstown, PA 19464-5008 | 2017-09-20 |
1184081416 | Megan Elizabeth Milligan | Physician Assistant | 119 Shoemaker Rd, Pottstown, PA 19464-6429 | 2016-01-17 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.