Ebony Nicole Willoughby

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

724 Antique Silver Ave
North Las Vegas, NV 89032-8202

Phone

(323) 710-5271

NPI assigned

Feb 24, 2012

Last updated

Feb 24, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1639443500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 ANTIQUE SILVER AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328202",
            "telephone_number": "323-710-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 ANTIQUE SILVER AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328202",
            "telephone_number": "323-710-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOUGHBY",
        "first_name": "EBONY",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willing Hands, Inc (Willing Hands Home Care)
• Cameca Latoria Willis-Barnes
• Brendan Michael Willis, PH.D.
• Brittany Ariana Willis
• Chanci Nicole Willoughby
• Willpower Mindset LLC
• Jessica Annise Wilmore
• Bernadine Wilson
• Brandy Wilson
• Chris Wilson

• Rehabilitation Practitioner in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.