Peter Ebere

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

008499 Issued in TX

Practice address

3333 Knollcrest LN
Mesquite, TX 75181-2938

Phone

(469) 831-1960

Fax

(972) 222-6658

NPI assigned

Jun 21, 2012

Last updated

Jun 21, 2012By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• 1St Total Health Care

  • Point of Service
  • Mesquite, TX
  • NPI 1942242680
  Authorized official Same address or phone

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1184987448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 KNOLLCREST LN",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751812938",
            "telephone_number": "469-831-1960",
            "fax_number": "972-222-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 KNOLLCREST LN",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751812938",
            "telephone_number": "469-831-1960",
            "fax_number": "972-222-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERE",
        "first_name": "PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "TX",
            "license": "008499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra L Easter, OD
• Eastland Memorial Hospital District (Willowbend Nursing and Rehabilitation Center)
• Easy in Homecare
• Frank Bernard Ebai
• Ebenezer Home Health Care LLC (Ebenezer Home Health)
• Catherine N. Ebune, ANP
• Eclipse Home Health Services, Inc.
• William Layne Eddy, CRNA
• Edgewood SNF Operations LLC (Edgewood Rehabilitation and Care Center)
• Carol Edinbyrd

• Community Health Worker in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Community Health Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.