Leonelle Yoke Ebanja, RN, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6867 Issued in MN

Practice address

1504 White Bear Ave N
Saint Paul, MN 55106-1606

Phone

(651) 771-2513

Fax

(651) 771-2514

NPI assigned

Jul 23, 2014

Last updated

Sep 23, 2019By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GEFHCD
• Direct secure messaging: leonelle.ebanja@tdmc-mn.direct.office.nextgen.com

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.

• Trucare Clinic LLC

  • Primary Care Clinic/Center
  • Minneapolis, MN
  • NPI 1073257572
  Medicare reassignment NPD
• Trucare Urgent Care LLC

  dba TruCare Walk-In Clinic

  • Urgent Care Clinic/Center
  • Minneapolis, MN
  • NPI 1407590904
  Medicare reassignment NPD

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1538577499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 150TH ST N",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550383535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 WHITE BEAR AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551061606",
            "telephone_number": "651-771-2513",
            "fax_number": "651-771-2514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Godward St NE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554131741",
            "country_code": "US",
            "telephone_number": "612-353-4669",
            "fax_number": "612-354-2403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBANJA",
        "first_name": "LEONELLE",
        "middle_name": "YOKE",
        "credential": "RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6867",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "218747-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Ruth Easterday, RN, FNP
• Michael Eric Eastman, D.O.
• Eastside Home Health Care Corporation
• Christine Ann Eaton, RN
• Mark William Eaton, M.D.
• Wendy Ann Ebeling, P.T.
• Ebenezer Daybreak of St. Paul
• Christina Ann Eberly, LICSW
• Carl Ebert
• Parker M Eberwein, MD

• Family Nurse Practitioner in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.