KAYLA CONRAD FNP-C NPI 1629447701

NPI Information

  • NPI: 1629447701
  • Provider Name: KAYLA CONRAD, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8711 W CERMAK RD
    NORTH RIVERSIDE, IL
    ZIP 60546
  • Phone: (708) 442-7979

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NPI Details

Kayla Conrad, FNP-C is a family nurse practitioner in North Riverside, IL. Kayla Conrad, FNP-C NPI is 1629447701. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8711 W CERMAK RD
NORTH RIVERSIDE, IL
ZIP 60546-166
Phone: (708) 442-7979
Fax: (708) 442-8574

The NPI 1629447701 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/18/2015 and was last updated on 9/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse783207CALIFORNIANo
2363LF0000XNurse PractitionerFamily95005582CALIFORNIANo
3363LF0000XNurse PractitionerFamily209021842ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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