Active NPI
Holly Rachelle Tyrpak Bard, DNP, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 24317
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 228530 | SC | MD | Registered Nurse |
| 24317 | SC | MD | Psychiatric/Mental Health Nurse Practitioner |
| 61293119 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eleanor Health Professional Wa, PLLC | Current | Accepting new patients | |
| Mindful Health Solutions Wa PC | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Psychiatry Physician
- Seattle, WA
- NPI 1417692740
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Everett, WA
- NPI 1043827132
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.