Skylar Michelle Bluebird, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA14484 Issued in TX

Practice address

4333 N Josey LN Ste 302
Carrollton, TX 75010-4632

Phone

(469) 535-7200

NPI assigned

Mar 29, 2021

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

University of Texas Southwestern Medical School at Dallas, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Medicine Associates of TexasGroup PAC ID 7214230341, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/29027/brand/1/csg/1/fhir/r4
• Direct secure messaging: skylar.bluebird.1@29027.direct.athenahealth.com

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.

• Family Medicine Associates of Texas

  • Family Medicine Physician
  • Carrollton, TX
  • NPI 1972789709
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1245817733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6008 MAPLE AVE APT 374",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356584",
            "telephone_number": "210-296-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 N JOSEY LN STE 302",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104632",
            "telephone_number": "469-535-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUEBIRD",
        "first_name": "SKYLAR",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA14484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Block
• Blood Associates LLC
• Bloodworth Chiropractic LLC (FreeForm Chiropractic West Plano)
• David Bloodworth, DC
• Blue Sky Dent PLLC
• Bluebonnet Dental, P.a.
• Blueknight Financial LLC (A.M Logistics)
• Nichole Marie Blum, RN, BSN
• Bodyscribe, PLLC
• Brett Allan Boeke, DC

• Medical Physician Assistant in Carrollton, TX
• Providers in Carrollton, 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 Mar 29, 2021; 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.