Individual provider Active NPI

Ebony Hilson, FNP-BC

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1699284810
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN235011 Issued in GA
Practice address
2550 N Thunderbird Cir Ste 139
Mesa, AZ 85215-1222
Phone
(480) 353-2286
NPI assigned
Sep 20, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN235011 GA Primary

Addresses

Primary practice location

2550 N Thunderbird Cir Ste 139
Mesa, AZ 85215-1222

Mailing address

2550 N Thunderbird Cir Ste 139
Mesa, AZ 85215-1222

Other practice location 1

257 Swem court
Mcdonough, GA 30253
Phone (678) 913-7376

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN235011GAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1699284810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 N THUNDERBIRD CIR STE 139",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 N THUNDERBIRD CIR STE 139",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151222",
            "telephone_number": "480-353-2286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "257 Swem court",
            "address_purpose": "LOCATION",
            "city": "Mcdonough",
            "state": "GA",
            "postal_code": "30253",
            "country_code": "US",
            "telephone_number": "678-913-7376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILSON",
        "first_name": "EBONY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN235011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.