Healthcare Provider Details

I. General information

NPI: 1902723224
Provider Name (Legal Business Name): BILLIEJO NICOLE BATES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1740 24000 RD
PARSONS KS
67357-8400
US

IV. Provider business mailing address

1740 24000 RD
PARSONS KS
67357-8400
US

V. Phone/Fax

Practice location:
  • Phone: 620-421-6550
  • Fax:
Mailing address:
  • Phone: 620-820-9890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number53-85791-012
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-85791-012
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: