Yvonne Deaton Billups, ARNP
Individual provider Active NPI Family Nurse Practitioner · Live Oak, FL
NPI 1124048186 · NPPES record last updated Jan 25, 2011
Key facts
- NPI
- 1124048186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP1827412 (FL)
- Practice address
- 1426 Canyon Ave NE Unit B
Live Oak, FL 32064-4832 - Phone
- (386) 208-0537
- Fax
- (386) 208-0571
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1827412 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Oak Immediate Care Center LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP1827412 | FL | |
| Family Nurse Practitioner | 363LF0000X | ARNP1827412 | FL | Yes |
Addresses
Primary practice location
1426 Canyon Ave NE Unit B
Live Oak, FL 32064-4832
Mailing address
1426 Canyon Ave NE Unit B
Live Oak, FL 32064-4832
Phone (386) 208-0537
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304275800 | Medicaid | FL |
Other providers in Live Oak, FL
- Andrew Clyde Bass
- Janice Baucom
- Mayla A Beaty
- April B. Beck
- Beverly a Heinking, D.O.
- Bio-Medical Applications of Florida, Inc.
- John Hoey Bonura
- Jeffrey Boudette
- Karen Anne Braun
- Carol Annette Brown
All providers in Live Oak, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.