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EBONY T SALLIS LPN
NPI 1407669344
Licensed Practical Nurse in Laveen, AZ

Active since January 27, 2025
3921 W BASELINE RD, LAVEEN, AZ 85339(623) 606-7532 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ebony T Sallis Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONY T SALLIS LPN (NPI 1407669344) is an individual licensed practical nurse in Laveen, Arizona, licensed in Georgia (LPN092214) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1407669344
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameEBONY T SALLISCredential: LPN
Location Address3921 W BASELINE RDLaveen, AZ 85339-1801
Mailing Address250 Applewood Dr Unit 3004Lawrenceville, GA 30046-6409 · (623) 606-7532
Phone(623) 606-7532
Sole ProprietorYes
Enumeration DateJanuary 27, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1407669344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in GA · LPN092214
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
3921 W BASELINE RD, Laveen, AZ 85339
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAKE YAMASAKI
Registered Nurse (School)
3921 W BASELINE RD
LAVEEN, AZ 85339
Maricopa County (602) 764-4037
MELODY LYNN AROS
Registered Nurse (School)
3921 W BASELINE RD
LAVEEN, AZ 85339
Maricopa County (602) 764-4036
DEREK JONATHAN CARBAJAL RN
Registered Nurse (School)
3921 W BASELINE RD
LAVEEN, AZ 85339
Maricopa County (602) 764-4000
KARLI A DIEU M.S.
Speech-Language Pathologist
3921 W BASELINE RD
LAVEEN, AZ 85339
Maricopa County (602) 764-4000
KEVIN GRAFF MS ATC
Specialist
3921 W BASELINE RD
LAVEEN, AZ 85339
Maricopa County (602) 764-4096
ABIGAIL ROSS
Specialist/Technologist (Speech-Language Assistant)
3921 W BASELINE RD
LAVEEN, AZ 85339
Maricopa County (602) 764-4000
NATALIE NEER HART
Counselor (School)
3921 W BASELINE RD
LAVEEN, AZ 85339
Maricopa County (602) 764-4095
DIANE GENEVIEVE CABELLO
Registered Nurse
3921 W BASELINE RD
LAVEEN, AZ 85339
Maricopa County (602) 764-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebony Sallis's NPI number?

The NPI number for Ebony Sallis is 1407669344. It was assigned to this individual provider in the NPPES registry on January 27, 2025.

Where is Ebony Sallis located?

Ebony Sallis practices at 3921 W Baseline Rd, Laveen, AZ 85339. The listed phone number is (623) 606-7532.

What is Ebony Sallis's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Ebony Sallis was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.