Paula Yetunda Ebo, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP120082 Issued in TX

Practice address

4545 Fuller Dr Ste 325
Irving, TX 75038-6530

Phone

(214) 984-2168

NPI assigned

Apr 10, 2011

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

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vpa of Texas PLLCGroup PAC ID 7618911660, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amatus Health Care LLC Home health agency, Farmers Branch, TX, CCN 747682
• Elara Caring Home health agency, Irving, TX, CCN 743142

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: paula.ebo.1@32913.direct.athenahealth.com

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.

• Vpa of Texas PLLC

  • Family Medicine Physician
  • Irving, TX
  • NPI 1679510499
  Medicare reassignment Care Compare group
• Iah of Texas, PLLC

  • Family Medicine Physician
  • Irving, TX
  • NPI 1487051231
  Medicare reassignment
• Vpa of Texas PLLC

  • Family Medicine Physician
  • Irving, TX
  • NPI 1942829155
  NPD
• Thi of Texas at Samaritan Hospice, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Waco, TX
  • NPI 1144902982
  NPD (past)

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

• Amatus Health Care LLC

  • Home Health Agency
  • Farmers Branch, TX
  • NPI 1619295268
  Care Compare affiliation
• Viva Home Health Services LLC

  • Home Health Agency
  • Dallas, TX
  • NPI 1366484800
  Care Compare affiliation

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

{
    "created_epoch": "1302393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1831489947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 FULLER DR STE 325",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386530",
            "telephone_number": "214-984-2168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Fredericksburg Rd Ste 127",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293781",
            "country_code": "US",
            "telephone_number": "210-468-0800",
            "fax_number": "210-733-8649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBO",
        "first_name": "PAULA",
        "middle_name": "YETUNDA",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-10",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "738344",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP120082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332451902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tahiem Unique Eady, CRNA
• Aimee R Early
• Lauren Danielle Earnest, MA, BCBA
• East Texas II - Athens, LP
• East Texas II - Longview, LP
• Ec Opco Irving, LLC
• Gregory A Echt, MD
• William H Eckert Jr., BCBA
• Ildiko Gizella Edenhoffer, M.D.
• Edge-MD Holding PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.