MS. VICTORIA EZELLE EBANKS (NPI# 1770633141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770633141 |
| Entity Type | Individual |
| Full Name | MS. VICTORIA EZELLE EBANKS |
| Credential | RN |
| Practice Address |
4212 N 16th St Phoenix AZ 85016-5319 |
| Mailing Address |
888 E Clinton St # 1141 Phoenix AZ 85020-5802 |
| Practice Telephone | 6022631200 |
| Mailing Telephone | 6022375710 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
158731 | NC | Nursing Service Providers |
| Street Address |
4212 N 16TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-5319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627648 | Judy Marie Pinsonneault | Family Medicine | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2005-05-27 |
| 1568071348 | Christopher Tran | Pharmacist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2020-07-28 |
| 1659980480 | Corinne Easterling | Pharmacist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2020-07-28 |
| 1598383192 | Tamika Howard | Pharmacist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2020-07-09 |
| 1659901544 | Joseph Maloy | Pharmacist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2020-01-20 |
| 1437709680 | Kymberly Sue Ludwig | Pharmacist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2019-09-18 |
| 1962052746 | Jamie C Wilson | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2019-09-13 |
| 1427602721 | Jonathon Andrew Marquez | Respiratory Therapist, Certified | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2019-07-25 |
| 1700441664 | Douglas Edward Henry | Physical Therapist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2019-05-07 |
| 1982189205 | Rachael Renina Hunter Edwards | Psychologist | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2018-10-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023650603 | Jeffrey Eugene Hammett | Registered Nurse | 2800 W Pinnacle Peak Rd, Phoenix, AZ 85027-1000 | 2019-10-15 |
| 1275690646 | Ginger A. Davenport | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2007-01-03 |
| 1942366315 | Fe Lardizabal Yambao | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-12-29 |
| 1306902788 | Carolyn Rose Tapahe | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-12-29 |
| 1639234727 | Shedrick L Toussaint | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-12-27 |
| 1073678991 | Delia Mae Poleahla | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-12-22 |
| 1740348648 | Marilyn Avila | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-12-04 |
| 1821166935 | Mary Elizabeth Crosby | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-11-30 |
| 1477620748 | Beverly Jean Sanders | Registered Nurse | 4212 North 16th Street, Phoenix, AZ 85016 | 2006-11-29 |
| 1326115114 | Risa Bridget Barajas | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-11-29 |
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| 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.