Individual provider Active NPI

Tamika Bearden, APRN, FNP-C

  • Family Nurse Practitioner
  • Spring, TX
National Provider Identifier
1417445479
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138744 Issued in TX
Practice address
7109 FM 2920 Rd Ste 600
Spring, TX 77379-2218
Phone
(832) 539-8898
Fax
(832) 539-8838
NPI assigned
Apr 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 726118 TX
Family Nurse Practitioner 363LF0000X AP138744 TX Primary

Addresses

Primary practice location

7109 FM 2920 Rd Ste 600
Spring, TX 77379-2218

Mailing address

7109 FM 2920 Rd Ste 600
Spring, TX 77379-2218
Phone (832) 539-8898

Other identifiers 3

IdentifierTypeStateIssuer
1P7402OtherTXMEDICARE
423952701MedicaidTX
1P7386OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190703000957 TX Practitioner - Nurse Practitioner 1052645512 Reassigns benefits to 1 organization
Practice locations: Tomball, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7109 FM 2920 Rd
Suite 600
Spring, TX 77379-2218
Phone (832) 539-8898

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
726118TXMDAdministrator Registered Nurse
AP138744TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Healthcare PLLC Family CurrentSince Feb 18, 2021 Accepting new patients

Locations

7109 FM 2920 Rd
Ste 600
Spring, TX 77379
Phone (281) 205-8786

Organizations & group practices 1

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": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1417445479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 FM 2920 RD STE 600",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792218",
            "telephone_number": "832-539-8898",
            "fax_number": "832-539-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 FM 2920 RD STE 600",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792218",
            "telephone_number": "832-539-8898",
            "fax_number": "832-539-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARDEN",
        "first_name": "TAMIKA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "726118",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1P7402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423952701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1P7386",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.