Kouassi Akon Ebrottie, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024194499 Issued in VA

Practice address

719 N 25TH St
Richmond, VA 23223-6539

Phone

(804) 780-0840

NPI assigned

Feb 11, 2025

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

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

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vernon J Harris East End Community Health CenterGroup PAC ID 9638064850, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJBDAA

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.

• Vernon J Harris East End Community Health Center

  dba Capital Area Health Network

  • Federally Qualified Health Center (FQHC)
  • Richmond, VA
  • NPI 1295707966
  Medicare reassignment Care Compare group NPD
• Vernon J Harris East End Community Health Center

  dba Capital Area Health Network - Henderson Health Services

  • Federally Qualified Health Center (FQHC)
  • Richmond, VA
  • NPI 1366920530
  NPD
• Vernon J Harris East End Community Health Center

  dba Capital Area Health Network - Vernon J. Harris Medical Center

  • Federally Qualified Health Center (FQHC)
  • Richmond, VA
  • NPI 1972636330
  NPD

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1508671017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 GODDIN ST APT 218",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232313208",
            "telephone_number": "281-416-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N 25TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236539",
            "telephone_number": "804-780-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBROTTIE",
        "first_name": "KOUASSI",
        "middle_name": "AKON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024194499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.