Ebenezertelehealth LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

EBENEZERTELEHEALTH LLC

Practice address

5625 NW 130TH St
Oklahoma City, OK 73142-6085

Phone

(405) 349-8188

Fax

(718) 640-2713

NPI assigned

Apr 24, 2026

Organization subpart

No

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

Authorized official

Name

Susan GeorgeNPI 1144761073

Title

Owner

Phone

(405) 447-0300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan George, APRN

  • Family Nurse Practitioner
  • Shawnee, OK
  • NPI 1144761073
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1776988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1427994334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 NW 130TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731426085",
            "telephone_number": "405-501-6154",
            "fax_number": "718-640-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 NW 130TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731426085",
            "telephone_number": "405-349-8188",
            "fax_number": "718-640-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENEZERTELEHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-24",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-447-0300"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meara Kathleen Eaton-Baker, MSW
• Erika Lauren Eaton, DDS
• Julye Marie Eaton, PA-C
• Peter Ebeling, M.D.
• Ebenezer Healthcare Services,
• Amy L Eberle
• Isaiah John Ebert
• Mark Oren Ebert, MD
• William Jesse Ebke, OD
• Ebp & Me, LLC

• Family Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.