Ebony J Beckles, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R211296 Issued in MD

Practice address

428 E 25TH St
Baltimore, MD 21218-5304

Phone

(410) 617-0142

Fax

(443) 563-2143

NPI assigned

May 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1285208793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 COPPER RIDGE DR APT 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092285",
            "telephone_number": "443-202-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 E 25TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185304",
            "telephone_number": "410-617-0142",
            "fax_number": "443-563-2143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 N Charles St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212015505",
            "country_code": "US",
            "telephone_number": "410-837-2050 x1139",
            "fax_number": "443-573-5033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKLES",
        "first_name": "EBONY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "R211296",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MD",
            "license": "R211296",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MD",
            "license": "R211296",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "R211296",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R211296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina M Beckett, RN
• Sarah Lisa Beckett, RN
• Michael Anthony Becketts, MSW, MS, LCSW-C
• Lucien V Beckford
• Sheena T Beckford, RN
• Frances N Beckles, D.S.W.
• Olufemi Beckley
• Dawn Beckman, MD
• Allison Rose Beckmann, MD
• Elisa Gerlyn Beckwith, MS, LCPC

• Registered Nurse in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.