Nathan Billy
Individual provider Active NPI Counselor · Poteau, OK
NPI 1821348301 · NPPES record last updated Sep 4, 2015
Key facts
- NPI
- 1821348301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 16445 Midway Dr
Poteau, OK 74953-7414 - Phone
- (918) 649-7584
- NPI assigned
- Sep 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes | ||
| Rehabilitation Psychologist | 103TR0400X |
Addresses
Primary practice location
16445 Midway Dr
Poteau, OK 74953-7414
Mailing address
16445 Midway Dr
Poteau, OK 74953-7414
Phone (918) 649-7584
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200226970A | Medicaid | OK |
Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2015. 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.