Skylar Kirvin, MA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

S9Y8B7Y5 Issued in TX

Practice address

8124 Geranium LN
Fort Worth, TX 76123-1898

Phone

(817) 683-2010

NPI assigned

Nov 6, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1184447310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8124 GERANIUM LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231898",
            "telephone_number": "817-683-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8124 GERANIUM LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231898",
            "telephone_number": "817-683-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRVIN",
        "first_name": "SKYLAR",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TX",
            "license": "NA0008881070",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "S9Y8B7Y5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Kirkland, FNP-C
• Melanie Nicole Kirkland, RN (RNFA)
• Kristin Kirkley
• Jennifer Lynn Kirkpatrick, S.L.P.
• Vanessa Kirkpatrick, RD,LD
• Kristina Kirwin, LMSW
• Karon Kissentaner
• Amber Kissner, LCSW
• Mary Carol Kistner, CPNP
• Samuel Fletcher Kitching Jr., DDS

• Medical Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.