MS. EBONI SHAVON EVERAGE


Address: 3501 Burnet Ave, Cincinnati, OH 45229-2878
Phone: 5139172188

MS. EBONI SHAVON EVERAGE (NPI# 1891266243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891266243
Entity Type Individual
Full Name MS. EBONI SHAVON EVERAGE
Credential CERTIFIED HAIRLOSS S
Practice Address 3501 Burnet Ave
Cincinnati
OH 45229-2878
Practice Telephone 5139172188
Mailing Telephone 5139172188
Enumeration Date 2018-12-11
Last Update Date 2018-12-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744P3200X Specialist
Specialization: Prosthetics Case Management
001141 OH Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH CRRTIFIED HAIR LOSS SPECIALIST 001141 01

Office Location

Street Address 3501 BURNET AVE
City CINCINNATI
State OH
Zip Code 45229-2878

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1457816118 Linda Sue Hughes Counselor 4531 Reading Road, Cincinnati, OH 45229 2019-02-07
1437654902 Dimpal Patel Physician Assistant 3333 Burnet Ave # Mlc2004, Cincinnati, OH 45229 2018-03-27
1235657909 Shauntel Stewart Nurse's Aide 4439 Reading Rd Ste 101, Cincinnati, OH 45229 2017-09-01
1336662055 Diane Davis Home Health Aide 768 East Mitchell Ave, Cincinnati, OH 45229 2017-07-25
1265971683 Lauren Michelle Schmitt Psychologist 3333 Burnet Ave., Ml 4002, Cincinnati, OH 45229 2017-02-17
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Taxonomy Information

Taxonomy Code 1744P3200X
Grouping Other Service Providers
Classification Specialist
Specialization Prosthetics Case Management

Taxonomy Definition

Definition to come...

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1043730534 Kimberly Renee Jenkins Specialist 11741 Hanover Rd, Cincinnati, OH 45240-1915 2017-06-26
1518416916 Niyoka Langston Specialist 660 E Mcmillan St, Cincinnati, OH 45206-1959 2016-09-26
1811351711 Makisha Miller Specialist 7377 Brookcrest Dr, Cincinnati, OH 45237-3407 2016-04-07
1326421264 Kelly Dozier Specialist 1120 Kemper Meadow Dr, Cincinnati, OH 45240-4117 2015-07-08
1992198436 Teresa Smith Specialist 3848 Paxton Ave, Suite 25, Cincinnati, OH 45209-2399 2015-03-09
1225595564 Dayll Griffith Specialist 660 E Mcmillan St, Cincinnati, OH 45206-1959 2019-02-22
1013156652 Michael Paul Lagerstrand Sr. Specialist 3200 Vine St, 539/121, Cincinnati, OH 45220-2213 2009-02-04

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1316401060 Lauren Deseret Walker Specialist 230 Northland Blvd Ste 300, Springdale, OH 45246-3600 2019-01-28
1609340686 Dawn Denean Rucker-turner Specialist 210 Springboro Pike, Dayton, OH 45449-3640 2019-01-14
1063983617 Tamora Boykin Specialist 1830 Wakefield Dr, Akron, OH 44320-1648 2018-12-07
1124595301 Timiko S Kiner Specialist 1244 Flaire Dr Ste 105, Toledo, OH 43615-4671 2018-10-25
1710490172 Ac Styles LLC Specialist 4281 Morse Rd, Gahanna, OH 43230-1522 2017-11-08
1780197285 A Diva's Dream Salon LLC Specialist 23054 Emery Rd, Warrensville Heights, OH 44128-5135 2017-11-07
1659800100 Alan John Kercher Specialist 101 Terrace Villa Dr, Centerville, OH 45459-4732 2017-06-08
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Competitor

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City CINCINNATI
Zip Code 45229

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Dataset Information

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.

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