Ebthal Alasal, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28233679A Issued in IN

Practice address

2007 Cortland LN
Kendallville, IN 46755-2875

Phone

(260) 242-3242

NPI assigned

Aug 2, 2021

Last updated

Aug 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

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• FC Indiana, LLC

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• RP Wound Care LLC

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• Consonant Healing Associates of de LLC

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• Fast Pace Medical Clinic PLLC

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  • Chapel Hill, TN
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The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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": []
}

• A Brighter Tomorrow Counseling
• Adams County Memorial Hospital (Lutheran Life Villages (Kendallville))
• Adams County Memorial Hospital (Kendallville Manor)
• 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. (Fort Wayne Medical Oncology and Hematology)
• Debra Jean Amidon, LCSW

• Family Nurse Practitioner in Kendallville, IN
• Providers in Kendallville, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.