Alexandra Katherine Ebong, DNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP11166 Issued in AZ

Practice address

1950 S. Country Club Drive
Ste 102
Mesa, AZ 85210

Phone

(480) 413-0065

Fax

(480) 413-0069

NPI assigned

May 21, 2018

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

Other names 1

• Ms. Alexandra Katherine Schantz Former name

Medicare fee-for-service enrollment

Enrolled in AZ, TX, GA, CO, MI, KY6 enrollments

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 6

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alexandra.ebong.1@13711.direct.athenahealth.com
• Direct secure messaging: alexandra.ebong.1@22064.direct.athenahealth.com
• Direct secure messaging: alexandra.ebong.1@21533.direct.athenahealth.com
• Direct secure messaging: alexandra.ebong.1@21803.direct.athenahealth.com
• Direct secure messaging: alexandra.ebong.1@19654.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.

• Great Tower Recovery, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1831801232

  AZ

  Medicare reassignment NPD
• Summit Medical Group Arizona LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1053810622

  AZ

  Medicare reassignment NPD
• Qcpi-Villagemd, PC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1558872432

  GA

  Medicare reassignment NPD
• VMD Primary Providers Central Kentucky

  • Internal Medicine Physician
  • Murray, KY
  • NPI 1831674654

  KY

  Medicare reassignment NPD
• VMD Primary Providers Colorado, Inc

  • Primary Care Clinic/Center
  • Fort Collins, CO
  • NPI 1275646614

  CO

  Medicare reassignment NPD
• VMD Primary Providers Eastern Michigan, PC

  • Family Medicine Physician
  • Novi, MI
  • NPI 1336625540

  MI

  Medicare reassignment NPD
• Primary Care Medical Center Inc

  • Family Medicine Physician
  • Murray, KY
  • NPI 1295716694

  Family

  NPD
• VMD Primary Providers Central Kentucky

  • Rural Health Clinic/Center
  • Lebanon, KY
  • NPI 1063120194
  NPD
• Villagemd of Southeast Texas, PA

  • Family Medicine Physician
  • Houston, TX
  • NPI 1942857982
  NPD (past)

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1831680305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 S. COUNTRY CLUB DRIVE",
            "address_2": "STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "480-413-0065",
            "fax_number": "480-413-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 S. COUNTRY CLUB DRIVE",
            "address_2": "STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "480-413-0065",
            "fax_number": "480-413-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBONG",
        "first_name": "ALEXANDRA",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "SCHANTZ",
            "middle_name": "KATHERINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jake Eastwood, COTA/L
• Vicki Lee Eaton, LCSW
• Loren Eberhard, PA
• Lori Christine Ebert, PHD
• Cena Ebling, LPN
• Farid Ebrahim, D.D.S.
• Lorraine Edythe Ebright, MC MASTERS IN COUNSE
• Nelly Echevarria
• Leah Jhoana Echiverri, NP
• Echo Beauty

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.