Individual provider Active NPI

Holly Elizabeth Bechard, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Carlsbad, CA
National Provider Identifier
1982735254
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95004649 Issued in CA
Practice address
1902 Wright PL Ste 200
Carlsbad, CA 92008-6583
Phone
(760) 810-4465
NPI assigned
Mar 8, 2007
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13074 TN
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95004649 CA Primary

Addresses

Primary practice location

1902 Wright PL Ste 200
Carlsbad, CA 92008-6583

Mailing address

6887 Wayside Rd
Christiana, TN 37037-5669
Phone (615) 962-0995

Other practice location 1

6887 Wayside Rd
Christiana, TN 37037-5669
Phone (615) 962-0995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 15, 2016 through Jan 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95004649CAMDPsychiatric/Mental Health Nurse Practitioner
13074TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medi Psych Services Inc PastSince May 1, 2013 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1982735254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6887 WAYSIDE RD",
            "city": "CHRISTIANA",
            "state": "TN",
            "postal_code": "370375669",
            "telephone_number": "615-962-0995",
            "fax_number": "615-452-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 WRIGHT PL STE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920086583",
            "telephone_number": "760-810-4465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6887 Wayside Rd",
            "address_purpose": "LOCATION",
            "city": "Christiana",
            "state": "TN",
            "postal_code": "370375669",
            "country_code": "US",
            "telephone_number": "615-962-0995",
            "fax_number": "615-452-1356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECHARD",
        "first_name": "HOLLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "13074",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95004649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.