Ebonyck Simmons, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP133937 Issued in TX

Practice address

6606 LBJ Fwy Ste 200
Dallas, TX 75240

Phone

(972) 715-5000

Fax

(972) 715-9976

NPI assigned

Jun 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Badiyan Pain Management PLLCGroup PAC ID 1557505401, 2 clinicians

Brock Pain Medicine and AnesthesiaGroup PAC ID 7911335138, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Interim Healthcare of Dallas Home health agency, Sherman, TX, CCN 679384

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JCAGBA/Endpoint/JCAGBA

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.

• Badiyan Pain Management PLLC

  dba Spine & Joint Physicians of Frisco

  • Pain Medicine (Anesthesiology) Physician
  • Frisco, TX
  • NPI 1548601925
  Medicare reassignment Care Compare group NPD
• Brock Pain Medicine and Anesthesia

  • Pain Medicine (Anesthesiology) Physician
  • McKinney, TX
  • NPI 1144851122
  Medicare reassignment Care Compare group NPD
• Solar Health, P.a.

  • Interventional Pain Medicine Physician
  • Farmers Branch, TX
  • NPI 1376724948
  Medicare reassignment NPD
• U. S. Anesthesia Partners of Texas, P.a.,

  dba Greater Houston Anesthesiology, P.A.

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1548208564

  Nurse Practitioner

  Medicare reassignment NPD
• Solar Health, P.a.

  • Interventional Pain Medicine Physician
  • Rockwall, TX
  • NPI 1861966327
  NPD
• U S Anesthesia Partners of Texas, PA

  • Interventional Pain Medicine Physician
  • Addison, TX
  • NPI 1053800391

  Nurse Practitioner

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Capital Homecare LP

  dba Interim Healthcare of Dallas

  • Home Health Agency
  • Sherman, TX
  • NPI 1013345123
  Care Compare affiliation

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1720508872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840853",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6606 LBJ FWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75240",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "EBONYCK",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133937",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP133937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Simmons, D.C
• Brittany Jane Simmons, LCSW
• Charvette Renee Simmons, LCSW
• Denikequia Shiraye Simmons, LPC
• Donald Chad Simmons, M.D.
• Elena Elizabeth Simmons, CRNA
• Elizabeth James Simmons, LCSW
• Jasmyne Simmons, LPC
• Jeremy Simmons, DDS
• Jessica Lynn Simmons, LPC, LCDC

• Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.