Individual provider Active NPI

Ebony Lewis, CRNP

  • Family Nurse Practitioner
  • Canton, OH
National Provider Identifier
1528502283
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRNCNP023346 Issued in OH
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181019002779 OH Practitioner - Nurse Practitioner 3274800263 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
SP016980PAMDNurse Practitioner
908489MSMDFamily Nurse Practitioner
APRNCNP023346OHMDFamily Nurse Practitioner
230240OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare Family Health and Dental Center, Inc Current Accepting new patients
Lifecare Family Health and Dental Center, Inc CurrentSince Nov 30, 2020 Accepting new patients
Osh-Oh Physicians Group PC Nurse Practitioner CurrentSince Aug 23, 2024 Accepting new patients
Lifecare Family Health and Dental Center, Inc CurrentSince Nov 30, 2020 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.

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

Verify at the official NPI Registry.