Individual provider Active NPI

Ebonee Emanuel, WHNP

  • Women's Health Nurse Practitioner
  • Newark, OH
National Provider Identifier
1669863148
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
16957NP Issued in OH
Practice address
15 Messimer Dr
Newark, OH 43055-1841
Phone
(220) 564-4677
Fax
(220) 564-4678
NPI assigned
Feb 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 389194RN OH
Women's Health Nurse Practitioner 363LW0102X 16957NP OH Primary

Addresses

Primary practice location

15 Messimer Dr
Newark, OH 43055-1841

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-6200

Other practice location 1

405 Butterfly Gardens Dr
Columbus, OH 43215-4985
Phone (614) 722-6200

Other practice location 2

455 Executive Campus Dr
Westerville, OH 43082-8870
Phone (614) 722-6200

Other practice location 3

1905 Parsons Ave
Columbus, OH 43207-1933
Phone (614) 586-4159

Other practice location 4

1511 W Broad St
Columbus, OH 43222-1000
Phone (614) 222-3525

Other practice location 5

555 S 18th St
Columbus, OH 43205-2654
Phone (614) 722-6200

Other practice location 6

6435 E Broad St
Columbus, OH 43213-1507
Phone (614) 722-6200

Other practice location 7

7901 Diley Rd
Canal Winchester, OH 43110-9612
Phone (614) 722-6200

Other practice location 8

5675 Venture Dr
Dublin, OH 43017-2159
Phone (614) 722-6200

Other practice location 9

21 E State St Ste 200
Columbus, OH 43215-0109
Phone (888) 731-8994

Other identifiers 1

IdentifierTypeStateIssuer
0119012MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eemanuel39487@lickingmemorial.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150429000623 OH Practitioner - Nurse Practitioner 3779802574 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1320 W Main St
Newark, OH 43055-1822

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
75.66
Promoting interoperability
100
Improvement activities
40
Cost
75.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
389194RNOHMDRegistered Nurse
16957NPOHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Neighborhood Health Center, Inc. Current Accepting new patients
Nationwide Children'S Hospital CurrentSince Oct 15, 2025 Accepting new patients
Columbus Neighborhood Health Center, Inc. Current Accepting new patients
Columbus Neighborhood Health Center Inc CurrentSince Apr 9, 2018 Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Children'S Surgical Associates, Corporation CurrentSince Sep 15, 2025 Accepting new patients
Columbus Neighborhood Health Center Inc CurrentSince Apr 9, 2018 Accepting new patients
Nationwide Children'S Hospital CurrentSince Oct 15, 2025 Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients

Locations

Dept 781629
Detroit, MI 48278

7901 Diley Rd
Ste 150
Canal Winchester, OH 43110
Phone (614) 355-9050

7901 Diley Rd
Canal Winchester, OH 43110
Phone (614) 355-9050

600 N Pickaway St
Ste 300
Circleville, OH 43113
Phone (740) 207-4202

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

2300 W Broad St
Columbus, OH 43204
Phone (614) 645-2300

6435 E Broad St
Columbus, OH 43213
Phone (614) 355-8100

1500 E 17th Ave
Columbus, OH 43219
Phone (614) 645-2700

405 Butterfly Gardens Dr
Columbus, OH 43215
Phone (614) 722-4200

1791 Alum Creek Dr
Ste 100
Columbus, OH 43207
Phone (614) 526-5420

3433 Agler Rd
Ste 2800
Columbus, OH 43219
Phone (614) 645-1600

1180 E Main St
Columbus, OH 43205
Phone (614) 253-0861

1905 Parsons Ave
Columbus, OH 43207
Phone (614) 586-4159

L3318
Columbus, OH 43260

4661 Sawmill Rd
Ste 101
Columbus, OH 43220
Phone (614) 526-3285

240 Parsons Ave
Fl 2
Columbus, OH 43215
Phone (614) 645-7487

2780 Airport Dr
Ste 100
Columbus, OH 43219
Phone (614) 859-1906

555 S 18th St
Columbus, OH 43205
Phone (614) 722-4554

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

5675 Venture Dr
Dublin, OH 43017
Phone (614) 355-9580

455 Executive Campus Dr
Westerville, OH 43082
Phone (614) 355-6100

Organizations & group practices 11

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": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1669863148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MESSIMER DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551841",
            "telephone_number": "220-564-4677",
            "fax_number": "220-564-4678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Butterfly Gardens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154985",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-6228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Executive Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430828870",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-6228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1905 Parsons Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432071933",
            "country_code": "US",
            "telephone_number": "614-586-4159",
            "fax_number": "614-586-4252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1511 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432221000",
            "country_code": "US",
            "telephone_number": "614-222-3525",
            "fax_number": "614-222-3608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 S 18th St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052654",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-6228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6435 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432131507",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-6228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 Diley Rd",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431109612",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-6228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5675 Venture Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430172159",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-6228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 E State St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432150109",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMANUEL",
        "first_name": "EBONEE",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "389194RN",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "16957NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119012",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eemanuel39487@lickingmemorial.medicity.net",
            "affiliation": "N",
            "address_1": "15 Messimer Dr",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430551841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.