Active NPI
Billy Don Shuburte, MSW
- Social Worker
- Jacksonville, AR
National Provider Identifier
1750444378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1213-M
- Practice address
- 2411 W Main St
Jacksonville, AR 72076-4211 - Phone
- (501) 982-5402
- Fax
- (501) 982-5404
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1213-M | AR | Primary |
Addresses
Primary practice location
2411 W Main St
Jacksonville, AR 72076-4211
Mailing address
2411 W Main St
Jacksonville, AR 72076-4211
Phone (501) 982-5402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1213-M | AR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750444378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 W MAIN ST",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "720764211",
"telephone_number": "501-982-5402",
"fax_number": "501-982-5404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 W MAIN ST",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "720764211",
"telephone_number": "501-982-5402",
"fax_number": "501-982-5404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUBURTE",
"first_name": "BILLY",
"middle_name": "DON",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "1213-M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.