Active NPI
Ebone Powers, FNP-BC
- Family Nurse Practitioner
- Hopkinsville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 29552
- Practice address
- 1914 S Virginia St
Hopkinsville, KY 42240-3610 - Phone
- (270) 220-0366
- Fax
- (270) 220-0369
- NPI assigned
- Jul 30, 2021
- Last updated
- Dec 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3016946 | KY | |
| Family Nurse Practitioner | 363LF0000X | 29552 | TN | Primary |
| Registered Nurse | 163W00000X | 218632 | TN |
Addresses
Primary practice location
1914 S Virginia St
Hopkinsville, KY 42240-3610
Mailing address
2011 Fort Campbell Blvd Unit 20026
Clarksville, TN 37042-2330
Phone (931) 378-8826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218632 | TN | MD | Registered Nurse |
| 3016946 | KY | MD | Family Nurse Practitioner |
| 29552 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crofton Clinic PSC | Current | Accepting new patients | |
| Cancer Care, PLC | Current | Accepting new patients | |
| Hopkinsville Family Care PSC | Current | Accepting new patients | |
| Jennie Stuart Medical Center Inc | Past | Accepting new patients |
Locations
241 S Madisonville St
Crofton, KY 42217
Phone (270) 220-0240
1914 S Virginia St
Hopkinsville, KY 42240
Phone (270) 220-0366
2199 Memorial Dr
Clarksville, TN 37043
Phone (931) 245-8400
274 Clear Sky Ct
Clarksville, TN 37043
Phone (931) 802-8056
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Crofton, KY
- NPI 1194253245
-
- Rural Health Clinic/Center
- Hopkinsville, KY
- NPI 1760980544
-
dba Clarksville Cancer Care
- Hematology & Oncology Physician
- Clarksville, TN
- NPI 1265628226
-
dba Jennie Stuart Health Family Health Crofton RHC
- Rural Health Clinic/Center
- Crofton, KY
- NPI 1598602195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1306519848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 FORT CAMPBELL BLVD UNIT 20026",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370422330",
"telephone_number": "931-378-8826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1914 S VIRGINIA ST",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422403610",
"telephone_number": "270-220-0366",
"fax_number": "270-220-0369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "EBONE",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-30",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3016946",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "29552",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "218632",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hopkinsville, KY
- Pound Family Chiropractic Inc
- Robert Joseph Pound, D.C.
- Benjamin Gary Powell
- Ladonna Shane Powell, PTA
- Lisa Powell, RN
- Ryan Ppool, DPT
- Prakash Shah MD
- Premise Health of Kentucky Medical, P.S.C. (Altria Medical Services)
- Premise Health of Tennessee Medical, P.C (Altria Health Center)
- William Sean Prescott, CADC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.