Alexandra Birkett, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

6858 Issued in AZ

Practice address

21585 N 77TH Ave Ste 1500
Peoria, AZ 85382-2138

Phone

(623) 476-5227

NPI assigned

Nov 27, 2013

Last updated

Jan 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Regen Plus Inc

  • Clinic/Center
  • Glendale, AZ
  • NPI 1306551569
  NPD
• Revive Wellness and Rejuvenation LLC

  • Family Nurse Practitioner
  • Glendale, AZ
  • NPI 1184252678
  NPD
• Livn, P.C.

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1245759307
  NPD (past)
• Valley Integrated Wellness LLC

  • Family Nurse Practitioner
  • Peoria, AZ
  • NPI 1477920064
  NPD (past)

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1053742197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7444 W LOS GATOS DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105608",
            "telephone_number": "623-414-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21585 N 77TH AVE STE 1500",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822138",
            "telephone_number": "623-476-5227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Cedar Rd",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "92083",
            "country_code": "US",
            "telephone_number": "858-554-7439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Cedar Rd",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "92083",
            "country_code": "US",
            "telephone_number": "858-554-7439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRKETT",
        "first_name": "ALEXANDRA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA51377",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "6858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Billings, SLPA
• Bio-Ba LLC
• Bio-Medical Applications of Arizona, LLC (Phoenix Artificial Kidney Center)
• Biohack Healthcare PLLC (Eterna Wellness MD)
• Jeanette Birk
• Birthing LLC
• Darrel Lee Bischoff, DDS
• Tatum Renee Bixler
• Black Diamond Behavior Consulting LLC
• Black Diamond Medical LLC

• Medical Physician Assistant in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.