Individual provider Active NPI

Georgette Ebuh, DNP- FNP-C

  • Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1104330737
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP135479 Issued in TX
Practice address
8000 Eldorado Pkwy Ste a
McKinney, TX 75070
Phone
(469) 742-9950
Fax
(972) 548-9005
NPI assigned
Nov 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP135479 TX
Nurse Practitioner 363L00000X AP135479 TX Primary

Addresses

Primary practice location

8000 Eldorado Pkwy Ste a
McKinney, TX 75070

Mailing address

PO Box 840853
Dallas, TX 75284-0853
Phone (972) 715-5000

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP135479TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Pain & Wellness PA CurrentSince Jan 1, 2019 Accepting new patients

Locations

8000 Eldorado Pkwy
Bldg C
McKinney, TX 75070
Phone (469) 296-1049

8000 Eldorado Pkwy
Ste A
McKinney, TX 75070
Phone (469) 214-5735

3060 Communications Pkwy
Ste 100
Plano, TX 75093
Phone (469) 326-5100

3308 Preston Rd
#350105
Plano, TX 75093

3308 Preston Rd
Ste 350105
Plano, TX 75093

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": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1104330737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840853",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 ELDORADO PKWY STE A",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75070",
            "telephone_number": "469-742-9950",
            "fax_number": "972-548-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBUH",
        "first_name": "GEORGETTE",
        "credential": "DNP- FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135479",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP135479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.