Catherine Ezell

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

NP95014747 Issued in CA

Practice address

12677 Hesperia Rd
Suite 170
Victorville, CA 92395-7754

Phone

(714) 227-5198

NPI assigned

Aug 12, 2020

Last updated

Aug 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 CA

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

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: catherine.ezell.1@32527.direct.athenahealth.com
• Direct secure messaging: catherine.ezell.p1@direct.caremorewest.nextgenshare.com
• Direct secure messaging: catherineezell@chai.allscriptsdirect.net

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.

• Albion Medical Partners of California West P C

  dba CareMore Health Medical Partners West, PC

  • Internal Medicine Physician
  • Cerritos, CA
  • NPI 1073110607
  Medicare reassignment NPD
• Choice Healthcare Associates, Inc.

  • Exclusive Provider Organization
  • Apple Valley, CA
  • NPI 1194964361
  Medicare reassignment NPD
• Kenneth Grier MD Inc

  • Family Medicine Physician
  • Apple Valley, CA
  • NPI 1972109551
  NPD (past)

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1144831322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12677 HESPERIA RD STE 170",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12677 HESPERIA RD",
            "address_2": "SUITE 170",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957754",
            "telephone_number": "714-227-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZELL",
        "first_name": "CATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NP95014747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stevevonna R Evans
• Everside Health-Victorville
• Express Medical Ride LLC
• Extended Care Portfolio California Tenant LLC (Sierra Vista Independent and Assisted Living)
• Eyecee Optometric Inc (Desert Family Eye Care)
• Faculty Physicians and Surgeons of Llusm
• Fadi Saikali Medical Corporation
• Christopher Lee Fadness, MSW
• Fahed D. Hattar Dental, Inc.
• Salwa Fahmi, MD

• Primary Care Nurse Practitioner in Victorville, CA
• Providers in Victorville, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.