Eboni Shavon Everage, CERTIFIED HAIRLOSS S

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

001141 Issued in OH

Practice address

1806 Northcut Ave
Cincinnati, OH 45237-6026

Phone

(513) 628-3782

NPI assigned

Dec 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Divine Images

  • Prosthetics Case Management
  • Cincinnati, OH
  • NPI 1346950599
  NPD Authorized official

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1891266243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 NORTHCUT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452376026",
            "telephone_number": "513-628-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 NORTHCUT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452376026",
            "telephone_number": "513-628-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERAGE",
        "first_name": "EBONI",
        "middle_name": "SHAVON",
        "name_prefix": "Ms.",
        "credential": "CERTIFIED HAIRLOSS S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "001141",
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OH",
            "license": "001141",
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "OH",
            "license": "001141",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "001141",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRRTIFIED HAIR LOSS SPECIALIST",
            "identifier": "001141",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Susan Evelo, PH.D
• Evendale Ancillary Services, LLC
• Evendale Medical Center, LLC
• Abigail Evenson
• Evera Home Healthcare
• Janet Everage
• Evercare Comfort LLC
• Evercare Hospice, Inc.
• Everest Healthcare Ohio, Inc.
• Everest Healthcare Ohio, Inc.

• Durable Medical Equipment & Medical Supplies in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.