Laquisha Byrd, IDC

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

Practice address

34101 Fareholt Ave 92134 Building 14
San Diego, CA 92134-0001

Phone

(571) 659-1395

NPI assigned

Jan 26, 2021

Last updated

Feb 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1750972410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 836 BOX 521",
            "city": "FPO",
            "state": "AE",
            "postal_code": "096360009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34101 FAREHOLT AVE 92134 BUILDING 14",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921340001",
            "telephone_number": "571-659-1395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PSC 836 Box 2670",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AE",
            "postal_code": "096369998",
            "country_code": "US",
            "telephone_number": "314-624-5455",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "BYRD",
        "first_name": "LAQUISHA",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Bynum, RN
• Victoria Brooke Bynum, LMFT
• Dakota Max Byous
• Kelsey Murry Byrd, DO
• Kristina Clare Byrd, AUD
• Larry Donnell Byrd, JOB DEVELOPER
• Majesty Marie Byrd
• Michael C Byrd
• Stephanie Byrd, PSYD
• Hannah M Byrne, BCBA

• Military Health Care Provider in San Diego, CA
• Providers in San Diego, CA by specialty
• Military Health Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.