Heather Blizzard

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA10040 Issued in TX

Practice address

6160 Windhaven Pkwy
Suite 200
Plano, TX 75093-8099

Phone

(972) 378-6908

Fax

(972) 378-6586

NPI assigned

Jan 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Plano Neurosurgical Associates, PLLCGroup PAC ID 9234269556, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Plano Neurosurgical Associates, PLLC

  • Surgical Physician Assistant
  • Plano, TX
  • NPI 1598911687
  Medicare reassignment Care Compare group
• Luis a Mignucci, MD PA

  • Specialist
  • Plano, TX
  • NPI 1396855755
  Medicare reassignment

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1215393632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 WINDHAVEN PKWY",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938099",
            "telephone_number": "972-378-6908",
            "fax_number": "972-378-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 WINDHAVEN PKWY",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938099",
            "telephone_number": "972-378-6908",
            "fax_number": "972-378-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIZZARD",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA10040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blessed Non-Medical Transportation LLC
• Blessing Senior Care Specialists, LLC
• Christopher Glen Blewett, M.D.
• Blissful Glow Senior Support LLC
• Blissful Psychiatry and Wellness
• Brandon L Bloch, M.D.
• Andrew Robert Block, PH.D.
• Gail Blom, MA OTR CHT
• Gregory Blomquist, MD
• Mary D Blomquist, MD

• Surgical Physician Assistant in Plano, TX
• Providers in Plano, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.

Verify at the official NPI Registry.