MRS. LORI NICOLE EBENKAMP (NPI# 1497225478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497225478 |
| Entity Type | Individual |
| Full Name | MRS. LORI NICOLE EBENKAMP |
| Credential | CPNP-PC |
| Practice Address |
3626 N Macarthur Blvd Ste 200 Irving TX 75062-3643 |
| Practice Telephone | 9722562028 |
| Mailing Telephone | 9722562028 |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2018-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 747314 | TX | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP139365 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RX AUTHORIZATION | 28150 | 01 |
| TX | RN | 747314 | 01 |
| TX | APRN | AP139365 | 01 |
| Street Address |
3626 N MACARTHUR BLVD STE 200 |
| City | IRVING |
| State | TX |
| Zip Code | 75062-3643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588069892 | Olga Jigovskaia | Physician Assistant | 3626 N Macarthur Blvd Ste 200, Irving, TX 75062-3643 | 2014-10-29 |
| 1376108944 | Tots 2 Teens Kid Care, Pllc | Physician Assistant | 3626 N Macarthur Blvd Ste 200, Irving, TX 75062-3643 | 2019-05-08 |
| 1902971922 | Willis L Starnes | Pediatrics | 3626 N Macarthur Blvd Ste 200, Irving, TX 75062-3643 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029039 | Parham Dental Team, Pllc | Dentist | 3100 N O'connor Rd, # 100, Irving, TX 75062 | 2020-10-05 |
| 1649896119 | Evolve Medical Supply & Equipment, LLC | Durable Medical Equipment & Medical Supplies | 4953 N. O'connor Rd., Suite 150, Irving, TX 75062 | 2020-06-22 |
| 1376198507 | Sanitas Medical Center of Texas Pa | Family Medicine | 3917 West Airport Freeway, Irving, TX 75062 | 2019-08-05 |
| 1295392306 | Rami Marwan El-bkaily | Optometrist | 4100 W Airport Fwy Unit 100, Irving, TX 75062 | 2019-05-23 |
| 1891352118 | Smazy Enterprise LLC | Optometrist | W. Airport Freeway, Ste 122, Irving, TX 75062 | 2019-05-22 |
| 1568029023 | Bcs Management LLC | Physical Therapist | 2642 N Belt Line Rd, Suite 2642, Irving, TX 75062 | 2019-05-21 |
| 1639633696 | In His Image Counseling Center, Pllc | Marriage & Family Therapist | 4425 W. Airport Fwy, Suite 244, Irving, TX 75062 | 2019-01-24 |
| 1316446701 | Thinh Le | Dentist | 4040 W. Northgate Dr., Irving, TX 75062 | 2018-02-12 |
| 1366972259 | Erick Marquez | Dentist | 118 E John W Carpenter Fwy, #170, Irving, TX 75062 | 2017-06-14 |
| 1740718584 | Cosmetic Companions LLC | Home Health | 320 Decker Dr Ste 100, Irving, TX 75062 | 2017-05-24 |
| Find all providers in zip 75062 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102313 | North Texas Integrative Health & Wellness | Nurse Practitioner | 400 E Royal Ln Ste 212, Irving, TX 75039-3512 | 2020-04-04 |
| 1902344500 | Laura Christina Houillion | Nurse Practitioner | 8200 N Macarthur Blvd Ste 110, Irving, TX 75063-4889 | 2017-02-03 |
| 1881069375 | Beena George | Nurse Practitioner | 7200 Tx-hwy 161, Suite 350, Irving, TX 75039 | 2015-12-09 |
| 1376948265 | Marlea Jeter | Nurse Practitioner | 701 Tuscan Dr Ste 285, Irving, TX 75039-3971 | 2014-11-04 |
| 1992105894 | Grace Maina | Nurse Practitioner | 1104 Hidden Rdg Apt 2005, Irving, TX 75038-7973 | 2014-08-27 |
| 1801005103 | Sheila Harzman | Nurse Practitioner | 2021 N Macarthur Blvd Ste 250, Irving, TX 75061-2210 | 2007-05-22 |
| 1972016350 | Abigail Leigh Boynton | Nurse Practitioner | 3501 N Macarthur Blvd Ste 500, Irving, TX 75062-3675 | 2017-11-08 |
| 1154865921 | Stephanie Allen | Nurse Practitioner | 1111 W Airport Fwy Ste 143, Irving, TX 75062-6204 | 2016-12-13 |
| 1902359185 | Ariana Moss-fields | Nurse Practitioner | 2021 N Macarthur Blvd Ste 150, Irving, TX 75061-2210 | 2016-07-25 |
| 1437501798 | Margaret Sperry | Nurse Practitioner | 2021 N Macarthur Blvd Ste 250, Irving, TX 75061-2210 | 2016-07-11 |
| Find all providers in IRVING | ||||
Please comment or provide details below to improve the information on MRS. LORI NICOLE EBENKAMP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.