Individual provider Active NPI

Ebone Powers, FNP-BC

  • Family Nurse Practitioner
  • Hopkinsville, KY
National Provider Identifier
1306519848
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29552 Issued in TN
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220621000699 KY Practitioner - Nurse Practitioner 5799164885 Reassigns benefits to 2 organizations
I20250509000734 TN Practitioner - Nurse Practitioner 5799164885 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
218632TNMDRegistered Nurse
3016946KYMDFamily Nurse Practitioner
29552TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crofton Clinic PSC CurrentSince Mar 8, 2022 Accepting new patients
Cancer Care, PLC CurrentSince Feb 10, 2025 Accepting new patients
Hopkinsville Family Care PSC CurrentSince Mar 8, 2022 Accepting new patients
Jennie Stuart Medical Center Inc PastSince Mar 8, 2022 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.

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

Sources for this page

Verify at the official NPI Registry.