Individual provider Active NPI

Julie Claire Billis, NP

  • Family Nurse Practitioner
  • Grand Blanc, MI
National Provider Identifier
1477694040
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704224123 Issued in MI
Practice address
8483 Holly Rd
Grand Blanc, MI 48439-1840
Phone
(810) 694-7540
Fax
(810) 694-6955
NPI assigned
Feb 8, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704224123 MI Primary

Addresses

Primary practice location

8483 Holly Rd
Grand Blanc, MI 48439-1840

Mailing address

3495 S Center Rd
Burton, MI 48519-1455
Phone (810) 424-2011

Other identifiers 1

IdentifierTypeStateIssuer
1477694040MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080709000614 MI Practitioner - Nurse Practitioner 4385716265 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John Kitzmiller M.D. PC CurrentSince May 1, 2017 Accepting new patients
TLC of Mi LLC Past Accepting new patients
Associated Obstetrics & Gynecology, P.C. Past Accepting new patients

Locations

1455 S Lapeer Rd
Ste 200
Lake Orion, MI 48360
Phone (248) 693-1986

Interoperability endpoints

  • Direct secure messaging: julie@assocobgyn.gwaydirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477694040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191455",
            "telephone_number": "810-424-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8483 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391840",
            "telephone_number": "810-694-7540",
            "fax_number": "810-694-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLIS",
        "first_name": "JULIE",
        "middle_name": "CLAIRE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704224123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477694040",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.