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Deactivated NPI 1356479836 Deactivated / Inactive NPI Female Practitioner

Vicky A. Ebone , MSN, APRN, GNP-C

Nurse Practitioner - Gerontology • Baytown, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Vicky Ebone has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 28, 2007
NPI Deactivation Date September 11, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Vicky Ebone, MSN, APRN, GNP-C was a registered Nurse Practitioner - Gerontology practicing in Baytown, TX. Throughout an active medical career spanning 18 years, Vicky Ebone provided care at the practice location at 4201 GARTH RD STE 100 until profile deactivation on 2025-09-11.

Practice Location & Contact Primary Location

Practice Address

4201 Garth Rd Ste 100

Baytown, TX 775213154

Telephone 2814223113
Fax 2814203443
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Baytown, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Baytown, TX (963 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License TX 611397

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Deante Brown , NP-C

Nurse Practitioner

NPI 1043738511

Nurse Practitioner (Certified)

Yashayla Brown , NP-C

Nurse Practitioner

NPI 1164813150

Nurse Practitioner (Certified)

Dr. Edward Leahey , MD

Internal Medicine - Cardiovascular Disease

NPI 1770584690

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 11, 2025

Record deactivated on September 11, 2025

NPI Profile Active May 19, 2009

NPI status registered as active in NPPES database

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Updated Practice Location May 19, 2009

Registered at 4201 GARTH RD STE 100, BAYTOWN, TX 775213154 (Tel: 2814223113)

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Updated Business Mailing Address May 19, 2009

Registered at 4201 GARTH RD STE 100, BAYTOWN, TX 775213154 (Tel: 2814223113)

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Provider Name / Credentials Updated May 19, 2009

Recorded as VICKY EBONE, MSN, APRN, GNP-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2009

Nurse Practitioner (License #611397 in TX)

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Initial NPI Registration & Enumeration February 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356479836
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2007
Last Update: May 19, 2009
Deactivation Date: September 11, 2025

Mailing Address

4201 Garth Rd Ste 100

Baytown, TX 775213154

Phone: 2814223113

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.