Provider Demographics
NPI:1619528189
Name:BILLINGS, HALEY (RD)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:BILLINGS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1816 S CARSON AVE APT 223
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74119-5030
Mailing Address - Country:US
Mailing Address - Phone:214-802-1913
Mailing Address - Fax:
Practice Address - Street 1:1816 S CARSON AVE APT 223
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74119-5030
Practice Address - Country:US
Practice Address - Phone:214-802-1913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered