Individual provider Active NPI

Eboni Weddington

  • Licensed Practical Nurse
  • Kalamazoo, MI
National Provider Identifier
1659285385
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
4703107573 Issued in MI
Practice address
535 Bosker Ave Apt 2
Kalamazoo, MI 49007-5403
Phone
(269) 329-9723
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703107573 MI Primary

Addresses

Primary practice location

535 Bosker Ave Apt 2
Kalamazoo, MI 49007-5403

Mailing address

535 Bosker Ave Apt 2
Kalamazoo, MI 49007-5403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1659285385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 BOSKER AVE APT 2",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 BOSKER AVE APT 2",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075403",
            "telephone_number": "269-329-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDDINGTON",
        "first_name": "EBONI",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703107573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.