NPIMap

Organization Active NPI

Palm Beach Pediatrics, LLC

Doing business as Bluebird Kids Health

  • Pediatrics Physician
  • Jacksonville, FL
National Provider Identifier
1265238083
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PALM BEACH PEDIATRICS, LLC
Doing business as
Bluebird Kids Health
Practice address
6855 Wilson Blvd Ste 2
Jacksonville, FL 32210-3600
Phone
(561) 509-5009
NPI assigned
Feb 21, 2025
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PALM BEACH PEDIATRICS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Elizabeth Larsen
Title
Head of Practice Operations
Phone
(319) 936-6898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

6855 Wilson Blvd Ste 2
Jacksonville, FL 32210-3600

Mailing address

2000 Palm Beach Lakes Blvd Ste 901
West Palm Beach, FL 33409-6506
Phone (561) 509-5009

Other identifiers 1

IdentifierTypeStateIssuer
124121503MedicaidFL

Other names 1

  • Bluebird Kids Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Palm Beach Pediatrics LLC12 organizations share this tax ID, including this one
Part of
Palm Beach Pediatrics LLC

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6855 Wilson Blvd
Ste 2
Jacksonville, FL 32210

2000 Palm Beach Lakes Blvd
Ste 901
West Palm Beach, FL 33409

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17796/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1265238083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PALM BEACH LAKES BLVD STE 901",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096506",
            "telephone_number": "561-509-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6855 WILSON BLVD STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103600",
            "telephone_number": "561-509-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH PEDIATRICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALM BEACH PEDIATRICS, LLC",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "HEAD OF PRACTICE OPERATIONS",
        "authorized_official_telephone_number": "319-936-6898"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124121503",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluebird Kids Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.