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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EBENEZERTELEHEALTH LLC
NPI 1427994334
Nurse Practitioner - Family in Oklahoma City, OK

Active since April 24, 2026
5625 NW 130TH ST, OKLAHOMA CITY, OK 73142(405) 349-8188(718) 640-2713 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2026, Apr 24, 2026 (2 updates tracked since 2026).

About Ebenezertelehealth Llc NPPES

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

EBENEZERTELEHEALTH LLC (NPI 1427994334) is a healthcare organization registered as a family in Oklahoma City, Oklahoma and active in the NPI registry since April 2026. The organization lists Susan George, Owner, as its authorized official.

NPPES Registry Identity

NPI1427994334
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEBENEZERTELEHEALTH LLC
Location Address5625 NW 130TH STOklahoma City, OK 73142-6085
Mailing Address5625 Nw 130th StOklahoma City, OK 73142-6085 · (405) 501-6154 · Fax (718) 640-2713
Phone(405) 349-8188
Fax(718) 640-2713
Organization SubpartNo
Authorized OfficialSusan GeorgeOwner · (405) 447-0300
Enumeration DateApril 24, 2026
Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1427994334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
5625 NW 130TH ST, Oklahoma City, OK 73142
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Ebenezertelehealth LLC's NPI number?

The NPI number for Ebenezertelehealth LLC is 1427994334. It was assigned to this organization in the NPPES registry on April 24, 2026.

Where is Ebenezertelehealth LLC located?

Ebenezertelehealth LLC is located at 5625 NW 130th St, Oklahoma City, OK 73142. The listed phone number is (405) 349-8188.

What is Ebenezertelehealth LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ebenezertelehealth LLC was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.