Individual provider Active NPI

Beatrice Eboka, FNP

  • Family Nurse Practitioner
  • Deerfield Beach, FL
National Provider Identifier
1235688458
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08952 Issued in LA
Practice address
600 W Hillsboro Blvd
Suite 1101
Deerfield Beach, FL 33441-1609
Phone
(954) 246-1531
NPI assigned
Sep 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP08952 LA Primary

Addresses

Primary practice location

600 W Hillsboro Blvd
Suite 1101
Deerfield Beach, FL 33441-1609

Mailing address

600 W Hillsboro Blvd
Suite 1101
Deerfield Beach, FL 33441-1609
Phone (954) 246-1531

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

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1235688458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W HILLSBORO BLVD",
            "address_2": "SUITE 1101",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411609",
            "telephone_number": "954-246-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W HILLSBORO BLVD",
            "address_2": "SUITE 1101",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411609",
            "telephone_number": "954-246-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBOKA",
        "first_name": "BEATRICE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.