Geraldine M Disnard, MSN MPH RNC PMHNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

235929 (PMHNP) Issued in TX

Practice address

3115 Fort Worth Hwy
# 200
Hudson Oaks, TX 76087-8720

Phone

(817) 694-4978

Fax

(817) 448-9088

NPI assigned

Aug 9, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1366443822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 FORT WORTH HWY",
            "address_2": "# 200",
            "city": "HUDSON OAKS",
            "state": "TX",
            "postal_code": "760878720",
            "telephone_number": "817-694-4978",
            "fax_number": "817-448-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 FORT WORTH HWY",
            "address_2": "# 200",
            "city": "HUDSON OAKS",
            "state": "TX",
            "postal_code": "760878720",
            "telephone_number": "817-694-4978",
            "fax_number": "817-448-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISNARD",
        "first_name": "GERALDINE",
        "middle_name": "M",
        "credential": "MSN MPH RNC PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "235929 (PMHNP)",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP 9274840",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366443822",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467694935",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Rechele Caldwell
• Brittney Cardoza
• Jheen Cater
• Morgan Danagher
• Dentists of Hudson Oaks and Orthodontics, PC
• Roland Efa, PHARMD
• Alexandra Emma Farmer
• Victoria Gillen
• Edward S. Gordon, M.D.
• Jamie Guerrero, PHARM. D.

• Nurse Practitioner in Hudson Oaks, TX
• Providers in Hudson Oaks, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.