Individual provider Active NPI

Ebonique Thomson, FNP

  • Family Nurse Practitioner
  • Burbank, CA
National Provider Identifier
1003375825
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
223100 Issued in AZ
Practice address
511 N Hollywood Way
Burbank, CA 91505-3406
Phone
(866) 389-2727
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11020262 FL
Family Nurse Practitioner 363LF0000X AP70034986 WA
Family Nurse Practitioner 363LF0000X 95034838 CA
Family Nurse Practitioner 363LF0000X 0004395 CO
Family Nurse Practitioner 363LF0000X 346264 NY
Family Nurse Practitioner 363LF0000X 10014312 OR
Family Nurse Practitioner 363LF0000X 862214 NV
Family Nurse Practitioner 363LF0000X 225873 OK
Family Nurse Practitioner 363LF0000X 223100 AZ Primary

Addresses

Primary practice location

511 N Hollywood Way
Burbank, CA 91505-3406

Mailing address

511 N Hollywood Way
Burbank, CA 91505-3406
Phone (866) 389-2727

Other practice location 1

2760 Fletcher Pkwy
El Cajon, CA 92020-2110
Phone (866) 389-2727

Other practice location 2

14330 Culver Dr
Irvine, CA 92604-0303
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV, OR, FL, CA, RI, OK, CO, WA9 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20230928002764 AZ Practitioner - Nurse Practitioner 3870916760 Reassigns benefits to 2 organizations
I20241021001320 NV Practitioner - Nurse Practitioner 3870916760 Reassigns benefits to 2 organizations
I20250109002216 OR Practitioner - Nurse Practitioner 3870916760 Reassigns benefits to 2 organizations
I20250128002156 FL Practitioner - Nurse Practitioner 3870916760 Reassigns benefits to 2 organizations
I20251021003959 CA Practitioner - Nurse Practitioner 3870916760 Reassigns benefits to 1 organization
I20251120002153 RI Practitioner - Nurse Practitioner 3870916760 Reassigns benefits to 1 organization
I20251122000867 OK Practitioner - Nurse Practitioner 3870916760 Reassigns benefits to 1 organization
I20251122000969 CO Practitioner - Nurse Practitioner 3870916760 Reassigns benefits to 1 organization
I20251124003501 WA Practitioner - Nurse Practitioner 3870916760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

250 Skillman St
Suite 204
Brooklyn, NY 11205-4812

3742 W 2150
Suite 150
Lehi, UT 84048-7802

7500 N Dreamy Draw Dr
Suite 100
Phoenix, AZ 85020-4668

831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801

9700 N 91St St
Scottsdale, AZ 85258-5036

PO Box
Suite 772
Woonsocket, RI 02895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8170CTMDPhysical Therapist
95034838CAMDFamily Nurse Practitioner
0004395COMDFamily Nurse Practitioner
862214NVMDFamily Nurse Practitioner
346264NYMDFamily Nurse Practitioner
225873OKMDFamily Nurse Practitioner
10014312ORMDFamily Nurse Practitioner
AP70034986WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalcare Health Services PC Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Adobe Provider Group Nurse Practitioner CurrentSince Sep 13, 2023 Accepting new patients
Adobe PH PC CurrentSince Sep 26, 2024 Accepting new patients
Est IV Hydration & Wellness Spa PLLC CurrentSince Dec 11, 2024 Accepting new patients
Vitalcare Medical Services PA Nurse Practitioner CurrentSince Nov 10, 2025 Accepting new patients
Family Care Partners of Northeast Florida LLC CurrentSince Dec 8, 2025 Accepting new patients
Adobe Care and Wellness LLC Past Accepting new patients

Locations

7500 N Dreamy Draw Dr
Ste 100B
Phoenix, AZ 85020
Phone (520) 233-7111

7500 N Dreamy Draw Dr
Ste 100
Phoenix, AZ 85020
Phone (520) 233-7111

9700 N 91st St
Ste A115
Scottsdale, AZ 85258
Phone (480) 922-1376

9494 E Becker Ln
Scottsdale, AZ 85260
Phone (480) 331-7702

4685 Baseline Rd
Boulder, CO 80303
Phone (303) 439-2259

9550 Regency Square Blvd
Ste 300
Jacksonville, FL 32225
Phone (904) 744-7300

1215 Dunn Ave
Jacksonville, FL 32218
Phone (904) 757-1998

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616

2850 Ruby Vista Dr
Elko, NV 89801
Phone (775) 753-3727

7251 W Lake Mead Blvd
Ste 300
Las Vegas, NV 89128
Phone (702) 562-4096

2100 Townsend Dr
El Reno, OK 73036
Phone (405) 262-3323

6800 SW 105th Ave
Ste 206
Beaverton, OR 97008

8215 SW Tualatin Sherwood Rd
Ste 200
Tualatin, OR 97062
Phone (503) 899-3793

1 Saint Elizabeth Way
East Greenwich, RI 02818
Phone (401) 219-1792

3742 W 2150 N
Ste 150
Lehi, UT 84048
Phone (385) 205-6486

801 SE Park Crest Ave
Vancouver, WA 98683
Phone (360) 253-2879

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1003375825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N HOLLYWOOD WAY",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053406",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N HOLLYWOOD WAY",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053406",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2760 Fletcher Pkwy",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920202110",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14330 Culver Dr",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926040303",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "EBONIQUE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11020262",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP70034986",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95034838",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0004395",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346264",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10014312",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "862214",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "225873",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "223100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.