Amber Hanks Ebner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA07466 Issued in TX

Practice address

503 W Main St
Waxahachie, TX 75165-3235

Phone

(972) 937-5252

Fax

(972) 937-5259

NPI assigned

Oct 27, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Amber Leigh Hanks Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Joel a. Holiner, MD PA

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1346259645
  Medicare reassignment
• Apn Behavioral Healthcare

  • Psychiatric/Mental Health Nurse Practitioner
  • Ovilla, TX
  • NPI 1417190745
  NPD (past)

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1609152255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 W MAIN ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653235",
            "telephone_number": "972-937-5252",
            "fax_number": "972-937-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W MAIN ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653235",
            "telephone_number": "972-937-5252",
            "fax_number": "972-937-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBNER",
        "first_name": "AMBER",
        "middle_name": "HANKS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA07466",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "HANKS",
            "middle_name": "LEIGH",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stuart Paul Dunn, LAT
• Danielle Earp, LPC ASSOCIATE
• Martin Durelle Eason, M.D.
• Eastland Memorial Hospital District
• Eastland Memorial Hospital District
• Demetria Danielle Polk Echols, M. ED
• Eclipse Clinic PLLC
• Edward Lee Holt, DO, P.a.
• Edward Lee Holt, DO, P.a.
• Amy Lynn Edwards, PA-C

• Physician Assistant in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.