Kristia Bard, RN

Key facts

NPI

1972148492

Entity type

Individual (NPI type 1)

Primary specialty

Adult Psychiatric/Mental Health Registered Nurse 163WP0809X

License

64537 (WV)

Practice address

3094 Charles Town Rd
Kearneysville, WV 25430

Phone

(304) 901-2070

NPI assigned

Nov 7, 2019

Sex

Female

Sole proprietor

Yes

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.

• Mountaineer Behavioral Health Substance Abuse Rehabilitation Facility · Kearneysville, WV · NPI 1780135863
  NPD MULTI-SPECIALTY

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 7, 2019.

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1972148492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3094 CHARLES TOWN RD",
            "city": "KEARNEYSVILLE",
            "state": "WV",
            "postal_code": "25430",
            "telephone_number": "304-901-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3094 CHARLES TOWN RD",
            "city": "KEARNEYSVILLE",
            "state": "WV",
            "postal_code": "25430",
            "telephone_number": "304-901-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARD",
        "first_name": "KRISTIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "WV",
            "license": "64537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearneysville, WV

• Rhonda Alexander, LGSW
• Jessica Allen
• Alexandra Mae Bane
• Brian Bard
• Debra Bargerstock
• Christin S Bell, LGSW
• Erika Beltrami
• Michelangelo Beltrami
• Suresh Umeshchandra Benegalrao, DDS

All providers in Kearneysville, WV · Adult Psychiatric/Mental Health Registered Nurse in West Virginia