Ebony Dominaque Carter, NP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN.CNP.0027466 Issued in OH

Practice address

3435 Lee Rd
Shaker Heights, OH 44120-3649

Phone

(216) 752-9090

Fax

(216) 752-9080

NPI assigned

Jan 16, 2014

Sex

Female

Sole proprietor

Yes

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.

• Brighter Day Oh LLC

  • Professional Counselor
  • Columbus, OH
  • NPI 1780449140

  OH

  Medicare reassignment Care Compare group NPD
• Mental Health Services for Homeless Persons, Inc.

  • Case Management Agency
  • Cleveland, OH
  • NPI 1639140395

  OH

  Medicare reassignment Care Compare group NPD
• Strive Mental Health and Wellness LLC

  • Psychiatry Physician
  • Shaker Heights, OH
  • NPI 1053877126

  OH

  Medicare reassignment NPD
• Vista Blue Health and Wellness

  • Primary Care Nurse Practitioner
  • Canton, OH
  • NPI 1821856394

  OH, Psychiatric/Mental Health

  Medicare reassignment NPD
• The Metrohealth System

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1700828852
  NPD

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Mental Health Services for Homeless Persons, Inc. 14 clinicians

Brighter Day Oh LLC 13 clinicians

Practice addresses (Care Compare)

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ebony.carter.1@23610.direct.athenahealth.com
• Direct secure messaging: vistabluehealthandwellness.ebonycarter@158731.advancedmd-direct.com
• Direct secure messaging: ecarter260222@direct.metrohealth.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 10, 2026.

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1770905226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 LEE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441203649",
            "telephone_number": "216-752-9090",
            "fax_number": "216-752-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 LEE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441203649",
            "telephone_number": "216-752-9090",
            "fax_number": "216-752-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "EBONY",
        "middle_name": "DOMINAQUE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.413108",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.0027466",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0027466",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN138244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Lynn Cantor, MSSW LISW
• Brittany Capadona
• Capital Senior Living Properties, Inc
• Maria Lynne Capretta, LPC
• Rachel M Carr
• Karen Carter, LISW
• Hamidullah Cashmere, PMHNP-BC
• Marcie Regina Catron
• CCF
• CDC Physicians Organization, Inc.

• All providers in Shaker Heights, OH
• Gerontology Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.