Individual provider Active NPI

Tina Marie Billberry, FNP-BC

  • Family Medicine Physician
  • Alexandria, LA
National Provider Identifier
1437789203
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
211645 Issued in LA
Practice address
1587 N Bolton Ave Ste 1100
Alexandria, LA 71303-4255
Phone
(318) 445-9823
NPI assigned
Jan 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 211645 LA Primary

Addresses

Primary practice location

1587 N Bolton Ave Ste 1100
Alexandria, LA 71303-4255

Mailing address

321 W Shore Dr
Alexandria, LA 71303-7007
Phone (318) 312-0392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200402000450 LA Practitioner - Nurse Practitioner 0840629416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cenla Family Medicine Associates, LLCGroup PAC ID 7517010705, 18 clinicians

Practice addresses (Care Compare)

1587 N Bolton Ave
Suite 1100
Alexandria, LA 71303-4255
Phone (318) 445-9823

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
211645LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cenla Family Medicine Associates, LLC Family Medicine CurrentSince Mar 2, 2020 Accepting new patients

Locations

301 4th St
Ste 30124
Alexandria, LA 71301
Phone (318) 445-9823

1587 N Bolton Ave
Ste 1100
Alexandria, LA 71303
Phone (318) 445-9823

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEDCAA

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.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1437789203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W SHORE DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713037007",
            "telephone_number": "318-312-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1587 N BOLTON AVE STE 1100",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713034255",
            "telephone_number": "318-445-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLBERRY",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "211645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.