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

Taryn Alycia Conrad

Individual provider Nurse Practitioner · NPI 1043980352

Taryn Alycia Conrad is a Nurse Practitioner in Glasgow, Kentucky. Qualified in 2021, 5 years ago. Practices with Southeastern Emergency Physicians LLC, a 786-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
5
Licensed in
KY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1301 N Race St
Glasgow, KY 42141-3483
Phone: (270) 651-4444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3016118 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 3016118 (KY)

Record details

NPI number1043980352
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2021
Last updated in NPPESMarch 10, 2023
Certification dateMarch 10, 2023
Mailing address2643 Royal Ct, Bowling Green, KY 42104-7492

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southeastern Emergency Physicians Llc — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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