| Kristin Conrad, CNM | |
|
1900 Electric Rd Ste 1030, Salem, VA 24153-7474 | |
| (540) 774-6000 | |
| Not Available |
| Full Name | Kristin Conrad |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 1900 Electric Rd Ste 1030, Salem, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306880422 | NPI | - | NPPES |
| 98482548 | Medicaid | CO | |
| 0024167315 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 167478 (Colorado) | Secondary |
| 367A00000X | Advanced Practice Midwife | 0024167315 (Virginia) | Primary |
| Entity Name | Lewis Gale Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902977705 PECOS PAC ID: 6507886231 Enrollment ID: O20051128000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Conrad, CNM 1997 S Main St, Suite 704, Blacksburg, VA 24060-6635 Ph: (540) 961-1058 | Kristin Conrad, CNM 1900 Electric Rd Ste 1030, Salem, VA 24153-7474 Ph: (540) 774-6000 |
Brynn Wallin, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 407-723-6505 | |
Alia Solis Alexander, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-772-3650 | |
Ms. Madeline Bundy, MPH, CNM, WHNP-BC Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1900 Electric Rd Ste 1030, Salem, VA 24153 Phone: 540-774-6000 | |
Ashley Worley, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1900 Electric Rd Ste 1030, Salem, VA 24153 Phone: 540-772-3650 | |
Rebecca White, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd Ste 1030, Salem, VA 24153 Phone: 540-774-6000 |