Healthcare Provider Details

I. General information

NPI: 1497034862
Provider Name (Legal Business Name): BILLIE JO BAPTISTE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2011
Last Update Date: 12/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 AUSTIN BLUFFS PKWY
COLORADO SPRINGS CO
80918-3733
US

IV. Provider business mailing address

3556 TAIL WIND DR
COLORADO SPRINGS CO
80911-3706
US

V. Phone/Fax

Practice location:
  • Phone: 719-255-4444
  • Fax: 719-255-4446
Mailing address:
  • Phone: 719-645-9132
  • Fax: 719-255-4446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number990177
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: