Ermias Zenebe Abebe
Individual provider Active NPI Family Nurse Practitioner · Abilene, TX
NPI 1982174371 · NPPES record last updated Nov 28, 2018
Key facts
- NPI
- 1982174371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 847144 (TX)
- Practice address
- 618 Scoobie TRL
Abilene, TX 79602-7051 - Phone
- (325) 232-3082
- NPI assigned
- Nov 28, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210415001638 | TX | Practitioner - Nurse Practitioner | 5597173385 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 847144 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa of Texas PLLC | Current |
Accepting new patients | |
| Vpa of Texas PLLC | Current |
Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 847144 | TX | Yes |
Addresses
Primary practice location
618 Scoobie TRL
Abilene, TX 79602-7051
Mailing address
618 Scoobie TRL
Abilene, TX 79602-7051
Phone (325) 232-3082
Other providers in Abilene, TX
- Billy Abbe
- Jessica Ann Abbe
- Abbeville Dentistry - Abilene PLLC
- Khuzam Abdalla
- Haba Abdullah
- Samantha Ann Abels
- Larry D. Abernathy
- Abi Counseling, PLLC
- Abifitz, LLC
- Abilen Oral and Maxillofacial Surgery Associates PLLC
All providers in Abilene, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.