FESTUS EBONKA NPI 1932241007

NPI Information

  • NPI: 1932241007
  • Provider Name: FESTUS EBONKA
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 1721 E CHARLESTON BLVD
    LAS VEGAS, NV
    ZIP 89104
  • Phone: (702) 515-9680

Map and Directions

Get Directions

NPI Details

Festus Ebonka is a psychiatric/mental health nurse practitioner in Las Vegas, NV with 12 years of experience. Festus Ebonka NPI is 1932241007. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1721 E CHARLESTON BLVD
LAS VEGAS, NV
ZIP 89104-902
Phone: (702) 515-9680
Fax: (702) 685-9674

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy with evaluation and management visit, 30 minutes (HCPCS:90833)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month (HCPCS:G2087)
  • Psychotherapy, 1 hour (HCPCS:90837)
  • Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month (HCPCS:G2086)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 2/13/2007 and was last updated on 1/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAPRN000902NEVADANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN000902NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.