Kylie Brooke Ebner, RN

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

95148869 Issued in CA

Practice address

4400 Coldwater Canyon Ave Ste 127
Studio City, CA 91604-5038

Phone

(805) 657-2446

NPI assigned

May 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1093407330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14520 MAGNOLIA BLVD APT 108",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031491",
            "telephone_number": "805-657-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 COLDWATER CANYON AVE STE 127",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916045038",
            "telephone_number": "805-657-2446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14520 Magnolia Blvd Apt 108",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914031491",
            "country_code": "US",
            "telephone_number": "805-657-2446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBNER",
        "first_name": "KYLIE",
        "middle_name": "BROOKE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "95148869",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "CA",
            "license": "95148869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chadney Ann Duncanpauley
• Evan Dunn, LCSW
• Sarah Christine Dunn, BCBA
• Karen L. Durinzi, MD
• Lukas Dziemidok, MS, LMFT
• Ekaterina Gabashvili DMD, Inc.
• Nellie Rose Ekmekjian, M.D.
• Elder Care Holdings Corporation
• Elham Ramtin
• Elite Medical Evaluation Centers

• Infusion Therapy Registered Nurse in Studio City, CA
• Providers in Studio City, CA by specialty
• Infusion Therapy Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.