Consolata Ebekonye

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R142494 Issued in MD

Practice address

8600 Lasalle Road
Towson, MD 21286

Phone

(443) 985-0391

NPI assigned

Sep 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1427727452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7922 GALLOPING CIR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212441278",
            "telephone_number": "410-227-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 LASALLE ROAD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "443-985-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBEKONYE",
        "first_name": "CONSOLATA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R142494",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R142494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dynasty Medical Services LLC
• Meghan E Fincham
• Easley and Associates LLC
• Amy Lynn Easley, L.C.S.W.-C.
• Deirdre Eastham, CRNP
• James Gerard Ebeling, M.D.
• Bailey Ryan Ebert, PT
• Chima Eboh
• Cecilia Arrey Ebot
• Hailey Marie Ebue, RDH

• Family Nurse Practitioner in Towson, MD
• Providers in Towson, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.