Individual provider Active NPI

Ebony R Walker, NP

  • Women's Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1588945927
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP125347 Issued in TX
Practice address
8575 Pitner Rd
Houston, TX 77080-2010
Phone
(713) 462-6565
NPI assigned
Aug 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X COA.12860-NP OH
Women's Health Nurse Practitioner 363LW0102X AP125347 TX Primary

Addresses

Primary practice location

8575 Pitner Rd
Houston, TX 77080-2010

Mailing address

800 W Sam Houston Pkwy S Ste 200
Houston, TX 77042-1914
Phone (713) 462-6555

Other practice location 1

19333 Clay Rd
Katy, TX 77449-4001
Phone (713) 462-6555

Other practice location 2

4224 Cypress Creek Parkway
Suite 304
Houston, TX 77068
Phone (832) 377-6949

Other identifiers 2

IdentifierTypeStateIssuer
0056230MedicaidOH
05MedicaidTX

Other names 1

  • Ebony R Hill Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SBCHC Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180821002854 TX Practitioner - Nurse Practitioner 2961676663 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.12860-NPOHMDWomen's Health Nurse Practitioner
AP125347TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Branch Community Health Center CurrentSince Jun 24, 2022 Accepting new patients
The Better Body Shop Women'S Care & Medspa PastSince Aug 6, 2023 Accepting new patients
Spring Branch Community Health Center Past Accepting new patients

Locations

8575 Pitner Rd
Houston, TX 77080
Phone (713) 462-6545

1615 Hillendahl Blvd
Ste 100
Houston, TX 77055
Phone 7134626565125

800 W Sam Houston Pkwy S
Ste 200
Houston, TX 77042
Phone (832) 786-1018

5502 1st St
Katy, TX 77493
Phone 7134626565127

19333 Clay Rd
Katy, TX 77449
Phone (713) 462-6555

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1588945927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W SAM HOUSTON PKWY S STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770421914",
            "telephone_number": "713-462-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 PITNER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770802010",
            "telephone_number": "713-462-6565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19333 Clay Rd",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774494001",
            "country_code": "US",
            "telephone_number": "713-462-6555",
            "fax_number": "281-717-4456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4224 Cypress Creek Parkway",
            "address_2": "Suite 304",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77068",
            "country_code": "US",
            "telephone_number": "832-377-6949",
            "fax_number": "832-802-6645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "EBONY",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "COA.12860-NP",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP125347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056230",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SBCHC",
            "affiliation": "N",
            "endpointDescription": "8575 Pitner Rd",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8575 Pitner Rd",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770802010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EBONY",
            "last_name": "HILL",
            "middle_name": "R",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.