TAYLOR RENEE BEARDT — NPI 1619717782 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical in HOUSTON, TX)

CMS-1500 Box 24J / 33a • NPI

1619717782

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363AS0400X (CMS 97)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical

Box 32 Service Location & ZIP+4

6621 FANNIN ST, HOUSTON, TX, 77030-2399

✓ 9-Digit EDI 837 ZIP+4 (77030-2399)

Practice Phone & Referral Fax

(832) 824-1000

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619717782 (TAYLOR RENEE BEARDT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1619717782` (NPI-1 Individual Practitioner)
Provider / Legal Name	TAYLOR RENEE BEARDT
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical NUCC Code: `363AS0400X` (Physician Assistant, Surgical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	6621 FANNIN ST, HOUSTON, TX, 77030-2399
Practice Telephone / Fax	Tel: (832) 824-1000
Administrative Mailing Address	4640 LA CRESCENTA AVE, LA CRESCENTA, CA, 91214-2916
Enumeration & Last Sync	Enumerated: 2024-05-28 \| CMS Record Updated: 2026-11-02

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6621 FANNIN ST, HOUSTON, TX, 77030-2399

🗺️ Open in Google Maps 🏥 More Providers in HOUSTON

🔒 Are you TAYLOR RENEE BEARDT? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (363AS0400X)

What Does Taxonomy Code 363AS0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363AS0400X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 97 (Physician Assistant)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physician Assistant, Surgical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TAYLOR RENEE BEARDT)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363AS0400X` — Physician Assistant, Surgical Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical	State: CA \| License: `68604` \| Primary: Yes (Primary)
`363AS0400X` — Physician Assistant, Surgical Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical	State: TX \| License: `PA20942` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

TAYLOR RENEE BEARDT (NPI #1619717782)