Provider Demographics
NPI:1649581992
Name:BILLIOT, SHIRLEY YONG (PMHNP)
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:YONG
Last Name:BILLIOT
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E MEDICAL CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4373
Mailing Address - Country:US
Mailing Address - Phone:281-481-4646
Mailing Address - Fax:423-467-3644
Practice Address - Street 1:150 E MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4373
Practice Address - Country:US
Practice Address - Phone:281-481-4646
Practice Address - Fax:423-467-3644
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000151201163W00000X
NC5006380363LP0808X
TN15157363LP0808X
VA0024170526364SP0808X
TXAP123741363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1520055Medicaid
TN1520055Medicaid
TN10350I3309Medicare PIN