Ebonee Oteele Jones, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024188916 Issued in VA

Practice address

1977 Eagle Way
Manassas, VA 20110-5797

Phone

(757) 771-8554

NPI assigned

Apr 27, 2023

Last updated

Dec 22, 2023By 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 2

Addresses

Other names 1

• Mrs. Ebonee Oteele Jones Professional name

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SNF Physiatry Services VA LLC

  dba American Physiatry

  • Physical Medicine & Rehabilitation Physician
  • Virginia Beach, VA
  • NPI 1255168894
  Medicare reassignment
• Cavery Wellness of Woodbridge, LLC

  dba Medi-WeightLoss Woodbridge

  • Family Medicine Physician
  • Woodbridge, VA
  • NPI 1831620251
  NPD (past)

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1659069573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1977 EAGLE WAY",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105797",
            "telephone_number": "757-771-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 EAGLE WAY",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105797",
            "telephone_number": "757-771-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "EBONEE",
        "middle_name": "OTEELE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "VA",
            "license": "0001264982",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024188916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EBONEE",
            "last_name": "JONES",
            "middle_name": "OTEELE",
            "prefix": "MRS.",
            "credential": "MSN, APRN, FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shavonne Johnson, LCSW
• Victoria Johnson, CMT
• William Coleman Johnson
• Russell G Johnston, M.D.
• Breyah Abidemi Jones-Powers
• Iliana M Jones, LCSW
• Linda F Jones, D.D.S.
• Margaret Jones
• Michelle Jones
• Suni Jones, CRNA

• Family Nurse Practitioner in Manassas, VA
• Providers in Manassas, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.