Active NPI
Billie Jo Wounded Face, P.A.-C
- Medical Physician Assistant
- Yuma, AZ
National Provider Identifier
1801864707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2676
- Practice address
- 2400 S Ave a
Yuma, AZ 85364-7127 - Phone
- (701) 421-7538
- Fax
- (928) 336-7508
- NPI assigned
- Mar 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2676 | AZ | Primary |
Addresses
Primary practice location
2400 S Ave a
Yuma, AZ 85364-7127
Mailing address
2400 S Ave a
Yuma, AZ 85364-7127
Phone (701) 421-7538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 329434 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2676 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Development of West Phoenix, Inc. | Past | Accepting new patients | |
| Southwest Emergency Physicians, PLLC | Past | Accepting new patients |
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.
-
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1235322819
-
- Emergency Medicine Physician
- Yuma, AZ
- NPI 1992732259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224806400000",
"number": "1801864707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S AVE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647127",
"telephone_number": "701-421-7538",
"fax_number": "928-336-7508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 S AVE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647127",
"telephone_number": "701-421-7538",
"fax_number": "928-336-7508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOUNDED FACE",
"first_name": "BILLIE",
"middle_name": "JO",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2008-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "2676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "329434",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.