Healthcare Provider Details

I. General information

NPI: 1285540351
Provider Name (Legal Business Name): TINA BILLINGS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 FAIRMONT BLVD
RAPID CITY SD
57701-7375
US

IV. Provider business mailing address

6306 GRANDVALE DR
HOUSTON TX
77072-2022
US

V. Phone/Fax

Practice location:
  • Phone: 605-755-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number869884
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: