Individual provider Active NPI

Caralyn Jean Floyd, DO

  • Psychiatry Physician
  • Grand Prairie, TX
National Provider Identifier
1477865459
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
Q5797 Issued in TX
Practice address
3231 Yeltes
Grand Prairie, TX 75054-6712
Phone
(321) 302-2421
NPI assigned
Jul 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2014032544 MO
Psychiatry Physician 2084P0800X Q5797 TX Primary

Addresses

Primary practice location

3231 Yeltes
Grand Prairie, TX 75054-6712

Mailing address

3560 Delaware St
Ste 207
Beaumont, TX 77706-3059
Phone (409) 291-7622

Other practice location 1

3560 Delaware St
Ste 207
Beaumont, TX 77706-3059
Phone (409) 291-7622

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151228000256 TX Practitioner - Psychiatry 7517193980 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2014032544MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Physician Network CurrentSince Jan 1, 2016 Accepting new patients

Locations

3250 Fannin St
Beaumont, TX 77701
Phone (409) 212-7000

3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1477865459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST",
            "address_2": "STE 207",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063059",
            "telephone_number": "409-291-7622",
            "fax_number": "409-292-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 YELTES",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750546712",
            "telephone_number": "321-302-2421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3560 Delaware St",
            "address_2": "Ste 207",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777063059",
            "country_code": "US",
            "telephone_number": "409-291-7622",
            "fax_number": "409-292-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "CARALYN",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2014032544",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q5797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.