Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colton Ryan Conrad

Individual provider Basic Emergency Medical Technician · NPI 1619847712

Colton Ryan Conrad is a Basic Emergency Medical Technician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2025.

Licensed in
AZ
In the registry since
2025
Specialties on file
2

Practice location Address checks out

19601 N Black Canyon Hwy Ste 101
Phoenix, AZ 85027-4107
Phone: (855) 223-7123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Basic Emergency Medical Technician (primary) Taxonomy 146N00000X · Licence AZ00017866 (AZ)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1619847712
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 5, 2025
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing addressPo Box 740780, Atlanta, GA 30374-0780

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