Victoria Ezelle Ebanks, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

158731 Issued in NC

Practice address

4212 N 16TH St
Phoenix, AZ 85016-5319

Phone

(602) 263-1200

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770633141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 E CLINTON ST",
            "address_2": "# 1141",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205802",
            "telephone_number": "602-237-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165319",
            "telephone_number": "602-263-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBANKS",
        "first_name": "VICTORIA",
        "middle_name": "EZELLE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NC",
            "license": "158731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Easton, M.A.
• Eastwood Holdings LLC
• Easy Life Medical Equipment, Inc
• Eat and Speak Therapy, LLC
• Jeffrey Lee Eaton, MPT
• Kingsley Ebare, MD
• Rebecca Ebbert
• Brittany Gabrielle Ebbing, MD, MPH
• Lawrence Ebel, DMD
• Ebenezer Behavioral Care, LLC

• Ambulatory Care Registered Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Ambulatory Care Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.