Active NPI
Sydnee A Homeyer, PA-C
- Physician Assistant
- Dallas, TX
National Provider Identifier
1053972471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA12861
- Practice address
- 4131 S Buckner Blvd Ste a
Dallas, TX 75227-4318 - Phone
- (214) 388-0202
- Fax
- (214) 388-0214
- NPI assigned
- Jun 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA12861 | TX | Primary |
Addresses
Primary practice location
4131 S Buckner Blvd Ste a
Dallas, TX 75227-4318
Mailing address
4131 S Buckner Blvd Ste a
Dallas, TX 75227-4318
Phone (214) 388-0202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA12861 | Other | TX | TMB LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3116 W 6TH St
Suite 100
Fort Worth, TX 76107-2731
Phone (817) 984-8687
5301 W Lovers Lane
Suite 109
Dallas, TX 75209-4244
Phone (214) 352-7800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA12861 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reclaim Physicians Medical Group Inc | Past | Accepting new patients | |
| Dallas Healthcare for Children | Past | Accepting new patients | |
| Paul Phillips III, M.D., P.a. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/12984/brand/1/csg/1/fhir/r4
- sydnee.homeyer.pa.1@12984.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Fort Worth, TX
- NPI 1407224850
-
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1003044942
-
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1679686349
-
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1619237401
-
- Pediatrics Physician
- Dallas, TX
- NPI 1932336476
-
- Orthopaedic Surgery Physician
- Fredericksburg, TX
- NPI 1477045151
-
- Family Medicine Physician
- Grapevine, TX
- NPI 1811418023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1053972471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4131 S BUCKNER BLVD STE A",
"city": "DALLAS",
"state": "TX",
"postal_code": "752274318",
"telephone_number": "214-388-0202",
"fax_number": "214-388-0214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 S BUCKNER BLVD STE A",
"city": "DALLAS",
"state": "TX",
"postal_code": "752274318",
"telephone_number": "214-388-0202",
"fax_number": "214-388-0214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMEYER",
"first_name": "SYDNEE",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-26",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA12861",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TMB LICENSE",
"identifier": "PA12861",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.