Individual provider Active NPI

Ebony Jones, FNP-C

  • Family Nurse Practitioner
  • Tinley Park, IL
National Provider Identifier
1477192839
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.019827 Issued in IL
Practice address
7300 191St St
Tinley Park, IL 60487-9361
Phone
(866) 389-2727
NPI assigned
Jan 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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 209.019827 IL Primary

Addresses

Primary practice location

7300 191St St
Tinley Park, IL 60487-9361

Mailing address

7300 191St St
Tinley Park, IL 60487-9361
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20200213003006 IL Practitioner - Nurse Practitioner 0446686273 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.019827ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
E Mediate Cure LLC CurrentSince May 12, 2024 Accepting new patients
Matrix Medical Plus Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients
E Mediate Cure LLC CurrentSince Jun 25, 2022 Accepting new patients
A Plus Healthcare Management LLC Nurse Practitioner Current Accepting new patients

Locations

1508 Essington Rd
Ste 5
Joliet, IL 60435
Phone (815) 733-5952

1039 Brook Forest Ave
Shorewood, IL 60404
Phone (815) 681-7733

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1477192839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 191ST ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604879361",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 191ST ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604879361",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "EBONY",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.019827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.