EBONY WOLFE (NPI# 1134679996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134679996 |
| Entity Type | Individual |
| Full Name | EBONY WOLFE |
| Other Name | EBONY C FRAZIER |
| Credential | NP-C |
| Practice Address |
1301 Se 59th St Oklahoma City OK 73129-7307 |
| Mailing Address |
9105 Nw 90th Cir Yukon OK 73099-5564 |
| Practice Telephone | 4056329631 |
| Mailing Telephone | 9178050864 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
86473 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1301 SE 59TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73129-7307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700826138 | Crossroads Hospice of Oklahoma City, LLC | Hospice Care, Community Based | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2006-06-07 |
| 1588299952 | Randi June Jones | Nurse Practitioner | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2020-03-06 |
| 1457717928 | Dyanna Johnston | Nurse Practitioner | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2016-01-13 |
| 1689912354 | Linda Ann Byers | Counselor | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2013-01-30 |
| 1730468927 | Michael Moore | Counselor | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2011-08-05 |
| 1881988947 | Cynovah Shante Roberts | Counselor | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2011-06-07 |
| 1376742585 | Absentee Shawnee Counseling Services | Rehabilitation, Substance Use Disorder Unit | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2007-07-17 |
| 1386865517 | James E Barton | Counselor | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598291098 | Homero Rivera | Case Manager/Care Coordinator | 105 Se 30th St., Oklahoma City, OK 73129 | 2017-05-04 |
| 1437515038 | Arturo Pinon | Case Manager/Care Coordinator | 617 Se 18th St., Oklahoma City, OK 73129 | 2016-01-12 |
| 1578969283 | Ramona Paulette Gregory | Case Manager/Care Coordinator | 116 Se 22nd St, Oklahoma City, OK 73129 | 2014-11-06 |
| 1902221492 | Housecalls Transitional Care Associates | Family Medicine | 4311 S Prospect, Oklahoma City, OK 73129 | 2014-02-20 |
| 1861725301 | Nicholle Marie Verhines | Counselor | 744 S.e. 25th Street, Oklahoma City, OK 73129 | 2009-09-16 |
| 1174728620 | Lindsay Renae Sullivan | Counselor | 744 Se 25th St., Oklahoma City, OK 73129 | 2007-06-15 |
| 1780776153 | Laura Christine Balliett-box | Counselor | 744 Se 25th Street, Oklahoma City, OK 73129 | 2006-09-29 |
| 1639451511 | Christina Dawn Adkins | Pharmacist | 4500 S Shields Blvd, Oklahoma City, OK 73129 | 2011-09-15 |
| 1235255746 | Felicia Dawn Cummings | Counselor | 744 Se 25th Street, Oklahoma City, OK 73129 | 2007-03-22 |
| 1427134022 | Cyvil Brion Burks | Counselor | 744 Se 25th Street, Oklahoma City, OK 73129 | 2006-10-27 |
| Find all providers in zip 73129 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801418991 | Brooke Elizabeth Young | Nurse Practitioner | 825 Ne 10th St Ste 2g, Oklahoma City, OK 73104-5417 | 2020-05-11 |
| 1790315729 | Robin Annette Dockins | Nurse Practitioner | 11404 Bluff Creek Dr, Oklahoma City, OK 73162-3725 | 2020-01-17 |
| 1194283424 | Nancy Ann Owens | Nurse Practitioner | 5101 Sw 120th Ct, Oklahoma City, OK 73173-8875 | 2019-03-05 |
| 1487125282 | Michael Scott Eskew | Nurse Practitioner | 14100 Parkway Commons Dr Ste 100, Oklahoma City, OK 73134-6036 | 2018-12-06 |
| 1477922441 | Nissy Philip | Nurse Practitioner | 3366 Nw Expwy, Suit 550, Oklahoma City, OK 73112-4462 | 2015-09-21 |
| 1750766911 | Asha Joseph | Nurse Practitioner | 711 Sl Young Blvd Ste 430, Oklahoma City, OK 73104-5022 | 2015-07-29 |
| 1467899724 | Sukcha Maudie | Nurse Practitioner | 215 Nw 16th St, Oklahoma City, OK 73103-3408 | 2013-05-28 |
| 1700989316 | Misty Dawn Dean | Nurse Practitioner | 3366 Nw Expressway Ste 400, Oklahoma City, OK 73112-4416 | 2006-09-07 |
| 1083630115 | Terry L Green | Nurse Practitioner | 940 N.e. 13th Street, Suite 3000, Oklahoma City, OK 73104-5099 | 2006-07-14 |
| 1639166499 | Shannon L Johnson | Nurse Practitioner | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2005-10-05 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73129 |
Please comment or provide details below to improve the information on EBONY WOLFE.
| 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.