Individual provider Active NPI

Frances Ebo, NP-C

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1407202765
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129925 Issued in TX
Practice address
10802 Roller Mill LN
Sugar Land, TX 77498-5048
Phone
(832) 428-8393
NPI assigned
May 5, 2016
Last updated
May 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 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 AP129925 TX Primary

Addresses

Primary practice location

10802 Roller Mill LN
Sugar Land, TX 77498-5048

Mailing address

10802 Roller Mill LN
Sugar Land, TX 77498-5048
Phone (832) 428-8393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170405001662 TX Practitioner - Nurse Practitioner 6204083439 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP129925TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Houston Current Accepting new patients
City of Houston CurrentSince Feb 20, 2017 Accepting new patients
Divine Glow Health LLC Family Current Accepting new patients
Divinelink Healthcare Group Inc PastSince Feb 6, 2012 Accepting new patients

Locations

1809 N Main St
Houston, TX 77009
Phone (713) 547-8000

6201 Bonhomme Rd
Ste 350S
Houston, TX 77036
Phone (713) 780-5600

8000 N Stadium Dr
Houston, TX 77054
Phone (832) 393-4415

8000 N Stadium Dr
Fl 7
Houston, TX 77054
Phone (713) 794-9104

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": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1407202765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10802 ROLLER MILL LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774985048",
            "telephone_number": "832-428-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10802 ROLLER MILL LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774985048",
            "telephone_number": "832-428-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBO",
        "first_name": "FRANCES",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.