Eduardo Alejandro Bilbao la Vieja, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

RN162071 Issued in LA

Practice address

24276 Airport Rd
Eagle Butte, SD 57625-8021

Phone

(605) 964-7724

NPI assigned

Jun 6, 2020

Last updated

Jun 6, 2020By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1591401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591401600000",
    "number": "1194349035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5867 LOUISVILLE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242808",
            "telephone_number": "225-571-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24276 AIRPORT RD",
            "city": "EAGLE BUTTE",
            "state": "SD",
            "postal_code": "576258021",
            "telephone_number": "605-964-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILBAO LA VIEJA",
        "first_name": "EDUARDO",
        "middle_name": "ALEJANDRO",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-06",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "LA",
            "license": "RN162071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayce Lenae Assman, RN
• Alexandra L Bachman-Williams
• Susan F Baker, CNP
• Dallas Barry, RN, APN
• Sarah Bennett
• Mark D Black, PHARM D
• Blackhills Dialysis, L.L.C.
• Shannon Renee Brautigan, RN
• Elaine C Brehmer, RN
• Lisa Marie Brower

• Emergency Registered Nurse in Eagle Butte, SD
• Providers in Eagle Butte, SD by specialty
• Emergency Registered Nurse in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2020; 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.