Individual provider Active NPI

Joan Turner Billeaud, CPNP-PC

  • Pediatric Nurse Practitioner
  • Marshall, TX
National Provider Identifier
1659624328
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
702320 Issued in TX
Practice address
300 N Alamo Blvd
Marshall, TX 75670-3451
Phone
(903) 472-4800
Fax
(903) 927-2880
NPI assigned
Oct 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 702320 TX Primary

Addresses

Primary practice location

300 N Alamo Blvd
Marshall, TX 75670-3451

Mailing address

300 N Alamo Blvd
Marshall, TX 75670-3451
Phone (903) 472-4800

Other identifiers 1

IdentifierTypeStateIssuer
316079802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210506000756 TX Practitioner - Nurse Practitioner 8527477470 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
702320TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children'S Medical Group CurrentSince Aug 22, 2022 Accepting new patients
Dell Children'S Medical Group CurrentSince Aug 22, 2022 Accepting new patients

Locations

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

6811 Austin Center Blvd
Ste 400
Austin, TX 78731
Phone (512) 494-4000

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

Interoperability endpoints

  • Direct secure messaging: joan.billeaud.1@8363.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16223/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1659624328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N ALAMO BLVD",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756703451",
            "telephone_number": "903-472-4800",
            "fax_number": "903-927-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N ALAMO BLVD",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756703451",
            "telephone_number": "903-472-4800",
            "fax_number": "903-927-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLEAUD",
        "first_name": "JOAN",
        "middle_name": "TURNER",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "702320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316079802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, TX

Sources for this page

Verify at the official NPI Registry.