Colby Bliss, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

6955139-1206 Issued in UT

Practice address

826 N Paiute Way
Richfield, UT 84701-1849

Phone

(435) 893-0977

NPI assigned

Sep 13, 2016

Sex

Male

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, UT2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: colby.bliss.1@14860.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.

• Paiute Indian Tribe of Utah

  • Clinic/Center
  • Cedar City, UT
  • NPI 1700062296

  TX

  Medicare reassignment NPD
• Ma Bo Inc

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1740461219

  UT

  Medicare reassignment
• Ma Bo Inc

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1275182487
  NPD
• Ma Bo Inc

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1588185581
  NPD
• Paiute Indian Tribe of Utah

  • Clinic/Center
  • Richfield, UT
  • NPI 1336316975
  NPD
• Paiute Indian Tribe of Utah

  • Federally Qualified Health Center (FQHC)
  • St George, UT
  • NPI 1801063441
  NPD
• Paiute Indian Tribe of Utah

  • Clinic/Center
  • Kanosh, UT
  • NPI 1992972525
  NPD

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1609324151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 N PAIUTE WAY",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011849",
            "telephone_number": "435-893-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 N PAIUTE WAY",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011849",
            "telephone_number": "435-893-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLISS",
        "first_name": "COLBY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-13",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "6955139-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Bennett, APRN
• Gary D Berger, O.D.
• Golden Benjamin Berrett, PHARMD, BCACP, BCADM
• Ryan Richard Blad, FNP-C
• Blake O Zobell DPM P C
• Roger D Blomquist, RADIOLOGIST
• Cathy Blood, RN
• Trinity Bodenschatz
• Seth Reid Bohman, MD
• Charlotte Bowler

• All providers in Richfield, UT
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.