Ebony S Prescott, PRACTITIONER

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

AEC-17-05264 Issued in NY

Practice address

3100 University Blvd S Ste 109
Jacksonville, FL 32216-2737

Phone

(904) 846-2160

NPI assigned

Oct 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hairrestoration@getemgurlz.com

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.

• Hair Grass Hair Loss Solutions

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
  • NPI 1821862335
  NPD Authorized official

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1003383456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 UNIVERSITY BLVD S STE 109",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 UNIVERSITY BLVD S STE 109",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162737",
            "telephone_number": "904-846-2160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "256 E 135th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104544300",
            "country_code": "US",
            "telephone_number": "347-600-2298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 Adam Clayton Powell Blvd",
            "address_2": "Phenix Salon Suites, Suite #114",
            "address_purpose": "LOCATION",
            "city": "NY",
            "state": "NY",
            "postal_code": "10027",
            "country_code": "US",
            "telephone_number": "347-600-2298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESCOTT",
        "first_name": "EBONY",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NY",
            "license": "AEC-17-05264",
            "primary": true
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "FL",
            "license": "1307683",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hairrestoration@getemgurlz.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2130 Adam Clayton Powell Blvd",
            "address_2": "Phenix Salon Suites, Suite #114",
            "city": "NY",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caitlin Premuroso, MD
• Mary Prendergast, MD
• Mary Louise Prendergast, L.M.H.C.
• Gjergji Prendi
• Carmella Maria Prescott, LMHC
• Kristen Prescott, APRN
• Melissa Rene Prescott
• Prescribing Happiness
• Present Help Companion Services, LLC
• Present Living Therapy Inc

• Prosthetics Case Management in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Prosthetics Case Management in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.