Debra K Bilbo, ACNP
Individual provider Active NPI Acute Care Nurse Practitioner · Texarkana, AR
NPI 1821123779 · NPPES record last updated Jun 23, 2010
Key facts
- NPI
- 1821123779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 614189 (TX)
- Practice address
- 1414 Arkansas Blvd
Texarkana, AR 71854-1604 - Phone
- (870) 773-7246
- Fax
- (870) 773-8316
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 614189 | TX | MD | Acute Care Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 614189 | TX | Yes |
Addresses
Primary practice location
1414 Arkansas Blvd
Texarkana, AR 71854-1604
Mailing address
1414 Arkansas Blvd
Texarkana, AR 71854-1604
Phone (870) 773-7246
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85013 | Other | AR | BCBS OF AR |
| 8Y3646 | Other | TX | BCBS TEXAS |
| 195339001 | Medicaid | TX | |
| 200233400A | Medicaid | OK |
Other providers in Texarkana, AR
- Kimberly Ann Benish
- Bentley Healthcare, LLC
- Brianne D Bergquist
- BHG L, LLC
- Nona W. Bickham
- Nicole Ella Billingsley
- Jessica Bishop
- Brent Blackburn
- Jean-Michael Blanc
- Dennis Michael Blankenship
All providers in Texarkana, AR · Acute Care Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.