Individual provider Active NPI

Ebony Feliz, FNP-BC

  • Family Nurse Practitioner
  • Portsmouth, VA
National Provider Identifier
1053830208
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024198961 Issued in VA
Practice address
10 Woodmill CT
Portsmouth, VA 23703-3037
Phone
(757) 582-3221
Fax
(757) 585-3418
NPI assigned
Sep 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 0001271490 VA
Family Nurse Practitioner 363LF0000X 0024198961 VA Primary
Case Manager/Care Coordinator 171M00000X 0001271490 VA

Addresses

Primary practice location

10 Woodmill CT
Portsmouth, VA 23703-3037

Mailing address

10 Woodmill CT
Portsmouth, VA 23703-3037
Phone (757) 582-3221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0001271490VAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Simply Grace Healthcare Services LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1053830208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WOODMILL CT",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033037",
            "telephone_number": "757-582-3221",
            "fax_number": "757-585-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WOODMILL CT",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033037",
            "telephone_number": "757-582-3221",
            "fax_number": "757-585-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIZ",
        "first_name": "EBONY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "VA",
            "license": "0001271490",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024198961",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "VA",
            "license": "0001271490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.