Provider Demographics
NPI:1396558185
Name:ROBINSON, BILLY DEVRIES
Entity type:Individual
Prefix:
First Name:BILLY
Middle Name:DEVRIES
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5016 N 57TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-2104
Mailing Address - Country:US
Mailing Address - Phone:402-510-4924
Mailing Address - Fax:
Practice Address - Street 1:6230 S 79TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-3881
Practice Address - Country:US
Practice Address - Phone:402-510-4924
Practice Address - Fax:402-510-4924
Is Sole Proprietor?:No
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist