Crystal Ann Birdsong, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP61577387 Issued in WA

Practice address

11417 124TH Ave NE Ste 100
Kirkland, WA 98033-4677

Phone

(800) 640-3451

NPI assigned

Oct 18, 2007

Last updated

Oct 3, 2024By the provider in NPPES

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

Other names 1

• Ms. Crystal Ann Birdsong Professional name

Medicare fee-for-service enrollment

Enrolled in CO, OR, WA3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plaid Eagle Medical PLLCGroup PAC ID 6103268560, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Plaid Eagle Medical PLLC

  • Family Medicine Physician
  • Monroeville, PA
  • NPI 1588417117

  CO, OR, WA

  Medicare reassignment Care Compare group NPD
• Alamosa Foot and Nail Care Medical Services

  • Adult Health Nurse Practitioner
  • Alamosa, CO
  • NPI 1144631052
  NPD (past) Authorized official
• Geriatric and Hospice Medical Services

  • Geriatric Medicine (Family Medicine) Physician
  • Amherst, NH
  • NPI 1124170808
  NPD (past)
• Geriatric Associates of America-Texas, PLLC

  • Internal Medicine Physician
  • Webster, TX
  • NPI 1669682886

  Adult Health

  NPD (past)
• Geriatric Associates of America, P.a.

  • Geriatric Medicine (Family Medicine) Physician
  • Houston, TX
  • NPI 1093768673

  Adult Health

  NPD (past)
• Life Care Physician Services, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Cleveland, TN
  • NPI 1770807919
  NPD (past)
• Lutheran Hospital Association of the San Luis Valley

  dba SLV Regional Medical Center Physician Services

  • Orthopaedic Surgery Physician
  • Monte Vista, CO
  • NPI 1184866410

  Nurse Practitioner

  NPD (past)
• Monte Vista Investors, LLC

  dba Legacy at Monte Vista

  • Assisted Living Facility
  • Monte Vista, CO
  • NPI 1407817497
  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1457540189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1200",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840621200",
            "telephone_number": "800-640-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11417 124TH AVE NE STE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334677",
            "telephone_number": "800-640-3451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25195 SW Parkway Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Wilsonville",
            "state": "OR",
            "postal_code": "970709689",
            "country_code": "US",
            "telephone_number": "800-640-3451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRDSONG",
        "first_name": "CRYSTAL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10027979",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61577387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "BIRDSONG",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Timothy W Billings, PA
• Talia Bills
• Amy Binns
• Biofourmis Care FL PLLC
• Wendy Bircher
• Carin Birka
• Nita Ellen Bishop, ND
• D'Anne Bissell
• Dinora Bissenova
• Stephen Jon Bittner, MD

• Nurse Practitioner in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.