EBONY HAWKINS
NPI 1801426689
Case Manager/Care Coordinator in Tulsa, OK

Q: What is Ebony Hawkins's NPI number?

The NPI number for Ebony Hawkins is 1801426689. It was assigned to this individual provider in the NPPES registry on January 22, 2020. The provider is also known as Ebony Thissel.

Q: What is Ebony Hawkins's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Ebony Hawkins was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since January 22, 2020PECOS Enrolled

1055 S HOUSTON AVE, TULSA, OK 74127(918) 947-4206 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 29, 2021, Jan 22, 2020 (2 updates tracked since 2020).

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About Ebony Hawkins NPPES

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

EBONY HAWKINS (NPI 1801426689) is an individual case manager/care coordinator provider in Tulsa, Oklahoma and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tulsa, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1801426689

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameEBONY HAWKINS

Location Address1055 S HOUSTON AVETulsa, OK 74127-9043

Mailing Address1055 S Houston AveTulsa, OK 74127-9043 · (918) 947-4206

Phone(918) 947-4206

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 22, 2020

Last NPPES UpdateJune 29, 20212 updates tracked since enumeration

NPPES CertifiedJune 29, 2021

✔ NPI 1801426689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedDoulaTaxonomy 374J00000X

1055 S HOUSTON AVE, Tulsa, OK 74127

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Other Names 1

Former Name (1)Ebony Thissel

Secondary Practice Location 1

Location 16512 S 106th East Pl Apt 297Tulsa, OK 74133-1545 · Phone (918) 408-1058

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebony Hawkins is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092298554

PECOS Enrollment IDI20260312001576

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MR. MARCO M SMITH SR.

Case Manager/Care Coordinator