Organization Active NPI

Blue Skyes Health & Care PLLC

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1144869363
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BLUE SKYES HEALTH & CARE PLLC
Practice address
4201 Medical Dr Ste 370
San Antonio, TX 78229-5623
Phone
(210) 742-2330
NPI assigned
Jan 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Karla V RiveraNPI 1275780819
Title
Owner
Phone
(210) 382-9719

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

4201 Medical Dr Ste 370
San Antonio, TX 78229-5623

Mailing address

4201 Medical Dr Ste 370
San Antonio, TX 78229-5623
Phone (210) 742-2330

National Provider Directory

National Provider Directory

Locations

4201 Medical Dr
Ste 370
San Antonio, TX 78229
Phone (210) 742-2330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1144869363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 MEDICAL DR STE 370",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295623",
            "telephone_number": "210-742-2330",
            "fax_number": "210-775-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 MEDICAL DR STE 370",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295623",
            "telephone_number": "210-742-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKYES HEALTH & CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-382-9719"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.