Active NPI
Ebony Hawkins
- Case Manager/Care Coordinator
- Tulsa, OK
National Provider Identifier
1801426689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1055 S Houston Ave
Tulsa, OK 74127-9043 - Phone
- (918) 947-4206
- NPI assigned
- Jan 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1055 S Houston Ave
Tulsa, OK 74127-9043
Mailing address
1055 S Houston Ave
Tulsa, OK 74127-9043
Phone (918) 947-4206
Other practice location 1
6512 S 106th East Pl Apt 297
Tulsa, OK 74133-1545
Phone (918) 408-1058
Other names 1
- Ebony Thissel
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ehawkins@fcsok.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260312001576 | OK | Practitioner - Clinical Social Worker | 5092298554 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5310 E 31St St
Suite 700
Tulsa, OK 74135-5018
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family & Children'S Services, Inc | Current | Accepting new patients | |
| Family & Children'S Services, Inc | Current | Accepting new patients |
Locations
650 S Peoria Ave
Tulsa, OK 74120
Phone (918) 560-1200
1055 S Houston Ave
Tulsa, OK 74127
Phone (918) 382-3100
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tulsa, OK
- NPI 1528300050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1801426689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 S HOUSTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741279043",
"telephone_number": "918-947-4206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 S HOUSTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741279043",
"telephone_number": "918-947-4206"
}
],
"practiceLocations": [
{
"address_1": "6512 S 106th East Pl Apt 297",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741331545",
"country_code": "US",
"telephone_number": "918-408-1058",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAWKINS",
"first_name": "EBONY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-22",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ehawkins@fcsok.org",
"affiliation": "N",
"address_1": "1055 S Houston Ave",
"city": "Tulsa",
"state": "OK",
"country_code": "US",
"postal_code": "741279043",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "EBONY",
"last_name": "THISSEL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.