Active NPI
Ebonee Hawkins, NP
- Licensed Practical Nurse
- Toledo, OH
National Provider Identifier
1073802070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN143912 M-IV
- Practice address
- 2418 Rockspring Rd
Toledo, OH 43614-1672 - Phone
- (419) 322-1622
- NPI assigned
- Mar 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28244759A | IN | |
| Licensed Practical Nurse | 164W00000X | PN143912 M-IV | OH | Primary |
Addresses
Primary practice location
2418 Rockspring Rd
Toledo, OH 43614-1672
Mailing address
11837 Weathered Edge Dr
Fishers, IN 46037-3905
Phone (419) 322-1622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240606000807 | IN | Order and Referring Only - Nurse Practitioner | 8527500578 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28244759A | IN | MD | Registered Nurse |
| PN143912 M-IV | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1073802070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11837 WEATHERED EDGE DR",
"city": "FISHERS",
"state": "IN",
"postal_code": "460373905",
"telephone_number": "419-322-1622",
"fax_number": "844-918-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2418 ROCKSPRING RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436141672",
"telephone_number": "419-322-1622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "EBONEE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-31",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28244759A",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN143912 M-IV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.