Angela Elizabeth Eberhart, C.N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

06424 Issued in OH

Practice address

One Children'S Plaza
Dayton, OH 45404-4540

Phone

(937) 641-3000

NPI assigned

Jan 5, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

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 and National Provider Directory roles.

• Butler County Community Health Consortium, Inc.

  • Federally Qualified Health Center (FQHC)
  • Oxford, OH
  • NPI 1780346965
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1740268168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS PLZ",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041873",
            "telephone_number": "937-641-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE CHILDREN'S PLAZA",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454044540",
            "telephone_number": "937-641-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERHART",
        "first_name": "ANGELA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP06424",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "06424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2263983",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastway Corporation
• Elizabeth A. Eaton, M.D.
• Marjorie Sue Eaton, LPN
• Traci Leeann Eaton, L.M.T
• Eileen Jane Ebenger, PA-C
• Rachel Eberly, LSW, LCDC II
• James Ray Ebert, MD
• Meghan Ebert, APRN
• Steven Michael Ebert, DC
• Roberta Lynn Eby, LPN

• Pediatric Nurse Practitioner in Dayton, OH
• Providers in Dayton, OH by specialty
• Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.