Individual provider Active NPI

Holly Rachelle Tyrpak Bard, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1265054076
Registry record updated Aug 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
24317 Issued in SC
Practice address
1703 Laurel St
Columbia, SC 29201-2660
Phone
(844) 330-7799
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 228530 SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 61293119 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 24317 SC Primary

Addresses

Primary practice location

1703 Laurel St
Columbia, SC 29201-2660

Mailing address

5428 Roxbury Dr
North Charleston, SC 29418-2041
Phone (843) 343-9132

Other practice location 1

1120 E Terrace St Ste 100
Seattle, WA 98122-7405
Phone (206) 312-4072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220907003115 WA Practitioner - Nurse Practitioner 4688086218 Reassigns benefits to 2 organizations
I20230926000768 FL Practitioner - Nurse Practitioner 4688086218

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Health Solutions Wa PCGroup PAC ID 7911382072, 8 clinicians

Practice addresses (Care Compare)

115 NE 100TH St
Suite 300
Seattle, WA 98125-8008
Phone (844) 867-8444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
228530SCMDRegistered Nurse
24317SCMDPsychiatric/Mental Health Nurse Practitioner
61293119WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eleanor Health Professional Wa, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Mindful Health Solutions Wa PC CurrentSince Nov 4, 2024 Accepting new patients

Locations

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

4310 Colby Ave
Ste 201
Everett, WA 98203
Phone (425) 252-7000

115 NE 100th St
Ste 300
Seattle, WA 98125

1120 E Terrace St
Ste 100
Seattle, WA 98122
Phone (206) 312-4072

1101 N Argonne Rd
Ste 110
Spokane Valley, WA 99212
Phone (509) 508-0226

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: holly.bard@521794035712004.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1265054076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5428 ROXBURY DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294182041",
            "telephone_number": "843-343-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 LAUREL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012660",
            "telephone_number": "844-330-7799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 E Terrace St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981227405",
            "country_code": "US",
            "telephone_number": "206-312-4072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARD",
        "first_name": "HOLLY",
        "middle_name": "RACHELLE TYRPAK",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "228530",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "61293119",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "24317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.