NPIMap

Individual provider Active NPI

Sharon Jennifer Ebanks, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1912490855
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1898292 Issued in FL
Practice address
6209 W Robinson St
Orlando, FL 32835-1361
Phone
(407) 376-3375
NPI assigned
Jun 13, 2018
Last updated
Jun 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1898292 FL Primary

Addresses

Primary practice location

6209 W Robinson St
Orlando, FL 32835-1361

Mailing address

6209 W Robinson St
Orlando, FL 32835-1361
Phone (407) 376-3375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190124001754 FL Practitioner - Nurse Practitioner 8224375522 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Home Visiting Physicians, LLCGroup PAC ID 3274721675, 3 clinicians
Doctor House Call LLCGroup PAC ID 5799027785, 2 clinicians

Practice addresses (Care Compare)

2120 Michigan Ave
Kissimmee, FL 34744-2927
Phone (407) 483-8944

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1898292FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Home Visiting Physicians, LLC CurrentSince Dec 23, 2018 Accepting new patients
Ebanks Medical Primary Care LLC CurrentSince Mar 1, 2024 Accepting new patients
Doctor House Call LLC CurrentSince Nov 23, 2019 Accepting new patients

Locations

2120 Michigan Ave
Kissimmee, FL 34744
Phone (407) 201-9834

Organizations & group practices 3

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1912490855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 W ROBINSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328351361",
            "telephone_number": "407-376-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 W ROBINSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328351361",
            "telephone_number": "407-376-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBANKS",
        "first_name": "SHARON",
        "middle_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN1898292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.