Ebony Anna Edouard, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

349869 Issued in NY

Practice address

529 Courtlandt Ave
Bronx, NY 10451-5007

Phone

(718) 542-0255

NPI assigned

Jan 31, 2019

Sex

Female

Sole proprietor

No

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

Enrolled in NY, NJ2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Che Senior Psychological Services, PCGroup PAC ID 8022905314, 227 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ebony.edouard.1@30409.direct.athenahealth.com
• Direct secure messaging: eedouard17431@direct-prd.molinahealthcare.com
• Direct secure messaging: ebony.edouard.1@29290.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JFIBDD/Endpoint/JFIBDD

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.

• Che Senior Psychological Services, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1023078219
  Medicare reassignment Care Compare group
• Brookview Medical Associates, PLLC

  • General Practice Physician
  • Bohemia, NY
  • NPI 1871965855
  Medicare reassignment NPD
• Medical Care at Home PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1811138415
  Medicare reassignment NPD
• Midtown East Medical Services, PC

  • Nurse Practitioner
  • Pittsford, NY
  • NPI 1801292800
  Medicare reassignment NPD
• Molina Healthcare of New York, Inc.

  • Nurse Practitioner
  • North Syracuse, NY
  • NPI 1134622970
  Medicare reassignment NPD
• Wellcare of BX Medical PC

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1851848618
  Medicare reassignment NPD
• Signify Health Medical Associates of New Jersey, LLC

  • General Practice Physician
  • Princeton, NJ
  • NPI 1174187728
  Medicare reassignment NPD
• Knapp Street Psychiatry, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1043248776
  Medicare reassignment
• Urban Family Practice PC

  • In Home Supportive Care Agency
  • Baltimore, MD
  • NPI 1164594099

  Family

  NPD (past)

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1114482452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 HERRICK AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664155",
            "telephone_number": "646-732-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 COURTLANDT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515007",
            "telephone_number": "718-542-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDOUARD",
        "first_name": "EBONY",
        "middle_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2022-12-22",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349869",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "629854",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Edmonds
• Timothy Craig Edmonds, MD
• Theresa Edobor-Whiskey
• Nosa Edobor
• Patricia Paulette Edokpayi
• Jean Edouard
• Melissa Edouard
• Myriam Edouard
• Libel Eduardo Gerez, DMD
• Rachel Mariel Eduardo, LMHC

• Family Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.