Amy Ebbitt, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10139 Issued in OH

Practice address

6412 Franklin Blvd
Cleveland, OH 44102-3153

Phone

(216) 281-0872

Fax

(216) 281-9721

NPI assigned

Sep 28, 2008

Last updated

May 27, 2014By the provider in NPPES

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 identifiers 2

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.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neighborhood Health Care IncorporatedGroup PAC ID 2668466012, 68 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aebbitt23138@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neighborhood Health Care Incorporated

  dba Neighborhood Family Practice

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1720135304
  Medicare reassignment Care Compare group NPD
• Neighborhood Health Care Incorporated

  • Pharmacy
  • Cleveland, OH
  • NPI 1427847854
  NPD
• Neighborhood Health Care Incorporated

  dba Neighborhood Family Practice

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1952568586
  NPD
• Neighborhood Health Care Incorporated

  dba Neighborhood Family Practice

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1265702351
  NPD (past)
• Neighborhood Health Care Incorporated

  dba Neighborhood Family Practice

  • Primary Care Clinic/Center
  • Lakewood, OH
  • NPI 1265902324
  NPD (past)
• Neighborhood Health Care Incorporated

  dba Neighborhood Family Practice

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1295786267
  NPD (past)
• Neighborhood Health Care Incorporated

  dba Neighborhood Family Practice

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1326462219
  NPD (past)
• Neighborhood Health Care Incorporated

  dba Neighborhood Family Practice

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1568014173
  NPD (past)
• Neighborhood Health Care Incorporated

  dba Neighborhood Family Practice

  • Clinic/Center
  • Cleveland, OH
  • NPI 1730563891
  NPD (past)

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

{
    "created_epoch": "1222560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1902056823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 QUEENSTON RD",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441184319",
            "telephone_number": "216-321-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 FRANKLIN BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441023153",
            "telephone_number": "216-281-0872",
            "fax_number": "216-281-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBBITT",
        "first_name": "AMY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-28",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "10139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2967571",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "NP10139",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Earl Eaton, CDCA
• Gina N Eaton, CDCA QMHSMA CMSMA
• Jennifer L Eaton, D.O.
• Roxanne Leigh Eaton
• Thomas Stanley Eaton, PHYSICAL THERAPIST
• Stephen Ebbitt, PA-C
• Roseanne Sinead Ebel, M.S., C.G.C
• Megan Ashley Eberhardt, DPT
• Nicholas Eberhardt
• Shawnta Eberhardt, QMHS PLUS 3

• Family Nurse Practitioner in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.