Gwendonean Hornbeak, DNP, WHNP, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

204618 Issued in LA

Practice address

1307 Ridge Rd Ste 101
Rockwall, TX 75087-4301

Phone

(253) 753-0026

NPI assigned

Sep 23, 2015

Last updated

Dec 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, TX2 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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Franklin Parish Hospital Service Dist 1Group PAC ID 7810893302, 80 clinicians

Oceans Rog LLCGroup PAC ID 1355566712, 8 clinicians

Seaside Health System LLCGroup PAC ID 6800926429, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Cerebral Matters LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1972433571
  Medicare reassignment NPD Authorized official
• Franklin Parish Hospital Service Dist 1

  dba Franklin Medical Center

  • Rural Acute Care Hospital
  • Winnsboro, LA
  • NPI 1619143120
  Medicare reassignment Care Compare group NPD
• Oceans Rog LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Charles, LA
  • NPI 1922424357
  Medicare reassignment Care Compare group NPD
• Seaside Health System, LLC

  dba Seaside Health System

  • Psychiatric Hospital
  • Baton Rouge, LA
  • NPI 1720345663
  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  Nurse Practitioner

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  LA, Nurse Practitioner

  Medicare reassignment NPD
• Franklin Parish Hospital Service Dist 1

  dba Gilbert Health Center

  • Rural Health Clinic/Center
  • Gilbert, LA
  • NPI 1669002002
  NPD
• Oceans Rog LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kenner, LA
  • NPI 1619346574
  NPD
• Seaside Health System, LLC

  • Psychiatry Physician
  • Baton Rouge, LA
  • NPI 1639547243
  NPD

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1417326133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 NEW ZION RD",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712955731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 RIDGE RD STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874301",
            "telephone_number": "253-753-0026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "723 New Zion Rd",
            "address_purpose": "LOCATION",
            "city": "Winnsboro",
            "state": "LA",
            "postal_code": "712955731",
            "country_code": "US",
            "telephone_number": "253-753-0026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNBEAK",
        "first_name": "GWENDONEAN",
        "credential": "DNP, WHNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "204618",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "204618",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP143679",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN145284",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "138530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kira Suzann Holmes, PT, DPT
• Allyssa Danielle Holt
• Hope Rising Speech Therapy & Educational Services PLLC
• Horizon Senior Care Inc
• Hormonal Health and Wellness Centers
• Judy A Horner, M.S., CCC-A
• Misty Gaylene Hornsby-Odom, FNP
• Kaci Horton
• Taylor Horton, LPC-ASSOCIATE
• Steven Mark Horwitz, D.C.

• Psychiatric/Mental Health Nurse Practitioner in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.

Verify at the official NPI Registry.