Active NPI
Gina Denise Beard
- School Psychologist
- Boerne, TX
National Provider Identifier
1104387422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 716 Cypress Bend Dr
Boerne, TX 78006-7411 - Phone
- (210) 380-7139
- NPI assigned
- Mar 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
716 Cypress Bend Dr
Boerne, TX 78006-7411
Mailing address
716 Cypress Bend Dr
Boerne, TX 78006-7411
Phone (210) 380-7139
NPI Registry JSON
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1104387422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 CYPRESS BEND DR",
"city": "BOERNE",
"state": "TX",
"postal_code": "780067411",
"telephone_number": "210-380-7139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 CYPRESS BEND DR",
"city": "BOERNE",
"state": "TX",
"postal_code": "780067411",
"telephone_number": "210-380-7139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "GINA",
"middle_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-28",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.