Ebony Patrice Austin, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11012688 Issued in FL

Practice address

3543 Little Rd
Trinity, FL 34655-1814

Phone

(727) 848-6400

NPI assigned

Jun 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles (2 of 4)

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GGEJAA/Endpoint/GGEJAA
• FHIR API: https://fhir4.healow.com/fhir/r4/GGEJAA

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.

• Florida Cardiology Associates LLC

  • Cardiovascular Disease Physician
  • Trinity, FL
  • NPI 1104026467
  Medicare reassignment NPD
• Usha Agarwal MD PA

  • Chronic Disease Hospital
  • Trinity, FL
  • NPI 1710306402
  NPD (past)

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1073290508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10322 VENITIA REAL AVE APT 11A-302",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336474028",
            "telephone_number": "305-710-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3543 LITTLE RD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551814",
            "telephone_number": "727-848-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "EBONY",
        "middle_name": "PATRICE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11012688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Atkinson, LMT
• J Paul H. Augereau, MD
• Patrick Augustyn
• Cary A Aungst, MD
• Raja Irsalan Aurangzeb, MD
• Autism Interacts ABA, LLC
• Nancy Samir Awad
• Oluwafunbi Idowu Awoniyi, MD
• Oluwatoyosi Awotorebo
• Tara Axelrod

• Nurse Practitioner in Trinity, FL
• Providers in Trinity, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.