Robin Billingsley, RN

Individual provider Active NPI Licensed Practical Nurse · Normal, IL

NPI 1316354996 · NPPES record last updated Jul 16, 2014

Key facts

NPI
1316354996
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
014394346 (IL)
Practice address
1604 Visa Dr.
Ste. 2
Normal, IL 61761
Phone
(309) 846-4716
Fax
(309) 454-7348
NPI assigned
Jul 16, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
014394346ILMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Your Extra Hands Surgical Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 014394346 IL Yes

Addresses

Primary practice location

1604 Visa Dr.
Ste. 2
Normal, IL 61761

Mailing address

1604 Visa Dr.
Ste. 2
Normal, IL 61761
Phone (309) 846-4716

Other providers in Normal, IL

All providers in Normal, IL · Licensed Practical Nurse in Illinois

Sources for this page

Verify at the official NPI Registry.