Ebthal Alasal, NP

Key facts

NPI

1497429781

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

28233679A (IN)

Practice address

2007 Cortland LN
Kendallville, IN 46755-2875

Phone

(260) 242-3242

NPI assigned

Aug 2, 2021

Sex

Female

Sole proprietor

No

Organizations & group practices 6

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.

• Fast Pace Medical Clinic PLLC Family Medicine Physician · Hanover, IN · NPI 1649770769
  NPD
• FC Indiana, LLC Nurse Practitioner · Bedford, IN · NPI 1225579063
  NPD
• FC Indiana, LLC Rural Health Clinic/Center · Bedford, IN · NPI 1841911591
  NPD
• RP Wound Care LLC Nurse Practitioner · Fort Wayne, IN · NPI 1427790500
  NPD
• Consonant Healing Associates of de LLC Surgery Physician · Sparks, MD · NPI 1669099321
  NPD
• Fast Pace Medical Clinic PLLC Rural Health Clinic/Center · Chapel Hill, TN · NPI 1316602774
  NPD

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 2, 2021.

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1497429781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N SAWYER RD",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467552568",
            "telephone_number": "260-347-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 CORTLAND LN",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467552875",
            "telephone_number": "260-242-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALASAL",
        "first_name": "EBTHAL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28233679A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendallville, IN

• A Brighter Tomorrow Counseling
• Adams County Memorial Hospital
• Adams County Memorial Hospital
• Frank Dolan Adams, MD
• Kaylee Adelmann, RBT
• Allied Physicians Inc., D/B/a Fort Wayne Neurology
• Allied Physicians Inc., D/B/a Indiana Ohio Heart
• Brittany Altimus, AGPCNP-BC
• American Oncology Partners, P.a.
• Debra Jean Amidon, LCSW

All providers in Kendallville, IN · Family Nurse Practitioner in Indiana