Active NPI
Ebbony Wilkins
- Licensed Vocational Nurse
- Windcrest, TX
National Provider Identifier
1902393770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 332848
- Practice address
- 5121 Crestway Rd Ste 200B
Windcrest, TX 78239-1975 - Phone
- (210) 310-3864
- NPI assigned
- Apr 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 332848 | TX | Primary |
Addresses
Primary practice location
5121 Crestway Rd Ste 200B
Windcrest, TX 78239-1975
Mailing address
55 Beattie PL Ste 810
Greenville, SC 29601-2191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332848 | TX | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Angels Home Care Services LLC | Current | Accepting new patients | |
| Crossroads Treatment Center of San Antonio, PLLC | Past | Accepting new patients |
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.
-
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- San Antonio, TX
- NPI 1194313163
-
- Substance Use Disorder Rehabilitation Clinic/Center
- San Antonio, TX
- NPI 1770016610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1902393770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 BEATTIE PL STE 810",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5121 CRESTWAY RD STE 200B",
"city": "WINDCREST",
"state": "TX",
"postal_code": "782391975",
"telephone_number": "210-310-3864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "EBBONY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-17",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "332848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windcrest, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.