Active NPI
Ebony Lewis, CRNP
- Family Nurse Practitioner
- Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRNCNP023346
- Practice address
- 4235 Tuscarawas St W
Canton, OH 44708-5424 - Phone
- (234) 203-4232
- Fax
- (330) 266-4386
- NPI assigned
- Dec 14, 2016
- Last updated
- Jul 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP016980 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP016980 | PA | |
| Family Nurse Practitioner | 363LF0000X | APRNCNP023346 | OH | Primary |
| Family Nurse Practitioner | 363LF0000X | 908489 | MS | |
| Family Nurse Practitioner | 363LF0000X | 230240 | OK |
Addresses
Primary practice location
4235 Tuscarawas St W
Canton, OH 44708-5424
Mailing address
PO Box 746071
Atlanta, GA 30374-6071
Phone (312) 733-9730
Other practice location 1
7292 Fulton Dr NW
Canton, OH 44718
Phone (412) 482-0144
Other practice location 2
249 S 9th St
Pittsburgh, PA 15203-1265
Phone (412) 697-3260
Other names 1
- Ebony Brooks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2725 Lincoln St E
Canton, OH 44707-2769
Minuteclinic Payer Enrollment
Woonsocket, RI 02895-0784
PO Box
Atlanta, GA 30374
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP016980 | PA | MD | Nurse Practitioner |
| 908489 | MS | MD | Family Nurse Practitioner |
| APRNCNP023346 | OH | MD | Family Nurse Practitioner |
| 230240 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifecare Family Health and Dental Center, Inc | Current | Accepting new patients | |
| Lifecare Family Health and Dental Center, Inc | Current | Accepting new patients | |
| Osh-Oh Physicians Group PC | Nurse Practitioner | Current | Accepting new patients |
| Lifecare Family Health and Dental Center, Inc | Current | Accepting new patients |
Locations
2725 Lincoln St E
Canton, OH 44707
Phone (330) 454-2000
408 9th St SW
Canton, OH 44707
Phone (330) 454-2000
4235 Tuscarawas St W
Canton, OH 44708
Phone (234) 203-4232
10553 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 682-7702
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba OSH-OH Physicians Group, LLC
- Primary Care Clinic/Center
- Cleveland, OH
- NPI 1346747946
Nurse Practitioner
-
dba Canton Community Clinic
- Federally Qualified Health Center (FQHC)
- Canton, OH
- NPI 1013964923
-
- Federally Qualified Health Center (FQHC)
- Massillon, OH
- NPI 1134959000
-
dba Canton Community Clinic
- Federally Qualified Health Center (FQHC)
- Canton, OH
- NPI 1851592034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1528502283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746071",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746071",
"telephone_number": "312-733-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4235 TUSCARAWAS ST W",
"city": "CANTON",
"state": "OH",
"postal_code": "447085424",
"telephone_number": "234-203-4232",
"fax_number": "330-266-4386"
}
],
"practiceLocations": [
{
"address_1": "7292 Fulton Dr NW",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "OH",
"postal_code": "44718",
"country_code": "US",
"telephone_number": "412-482-0144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "249 S 9th St",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152031265",
"country_code": "US",
"telephone_number": "412-697-3260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "EBONY",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-14",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP016980",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP016980",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRNCNP023346",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "908489",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "230240",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EBONY",
"last_name": "BROOKS",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.