Individual provider Active NPI

Eboni Monique Yarbrough-Carter

  • Non-emergency Medical Transport (VAN)
  • Columbus, OH
National Provider Identifier
1285333641
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
SL528109 Issued in OH
Practice address
6240 Stockton Trail Wa
Columbus, OH 43213-4321
Phone
(614) 405-4104
NPI assigned
Feb 24, 2023
Reactivated
Mar 31, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Massage Therapist (NMT) 163WM1400X RN.517685 OH
Private Vehicle 347C00000X SL528109 OH
Non-emergency Medical Transport (VAN) 343900000X SL528109 OH Primary

Addresses

Primary practice location

6240 Stockton Trail Wa
Columbus, OH 43213-4321

Mailing address

6240 Stockton Trail Way
Columbus, OH 43213-4464
Phone (614) 405-4104

Other identifiers 1

IdentifierTypeStateIssuer
RN.517685OtherOHNURSING

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN.517685OHMDNurse Massage Therapist (NMT)
SL528109OHMDPrivate Vehicle

NPI Registry JSON

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1285333641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 STOCKTON TRAIL WAY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134464",
            "telephone_number": "614-405-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 STOCKTON TRAIL WA",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134321",
            "telephone_number": "614-405-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBROUGH-CARTER",
        "first_name": "EBONI",
        "middle_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-24",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-16",
        "deactivation_date": "2026-03-16",
        "reactivation_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "OH",
            "license": "RN.517685",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "OH",
            "license": "SL528109",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "SL528109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING",
            "identifier": "RN.517685",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.