MRS. DANETTA MICHELLE ENNIS


Address: 1416 E Matthews Ave Ste 200, Jonesboro, AR 72401-4362
Phone: (870) 932-1820

MRS. DANETTA MICHELLE ENNIS (NPI# 1649707779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649707779
Entity Type Individual
Full Name MRS. DANETTA MICHELLE ENNIS
Credential MS, ATC, LAT
Practice Address 1416 E Matthews Ave Ste 200
Jonesboro
AR 72401-4362
Practice Telephone (870) 932-1820
Practice Fax Number 8709726712
Mailing Telephone 8709321820
Mailing Fax Number 8709726712
Enumeration Date 2017-05-19
Last Update Date 2017-05-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
AR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1416 E MATTHEWS AVE STE 200
City JONESBORO
State AR
Zip Code 72401-4362

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861436875 Michael Allen Haughey Podiatrist 1416 E Matthews Ave Ste 200, Jonesboro, AR 72401 2006-06-16
1134738347 Stephanie Gage Nurse Practitioner 1416 E Matthews Ave Ste 200, Jonesboro, AR 72401-4362 2020-07-24
1932740339 Taylor Paige Barton Physician Assistant 1416 E Matthews Ave Ste 200, Jonesboro, AR 72401-4362 2019-10-07
1376002766 Arielle Nast Physician Assistant 1416 E Matthews Ave Ste 200, Jonesboro, AR 72401-4362 2019-03-15
1124463807 Ronald Angelo Sismondo Jr. Orthopaedic Surgery 1416 E Matthews Ave Ste 200, Jonesboro, AR 72401-4362 2013-05-07
1770743833 Brandon M Byrd Orthopaedic Surgery 1416 E Matthews Ave Ste 200, Jonesboro, AR 72401-4362 2008-06-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407453368 Mariah Kay Jackson Physical Therapy Assistant Creative Kids Therapy, Jonesboro, AR 72401 2020-10-05
1821606005 Kafayat Folake Iyanda Specialist/Technologist 2105 East Aggie Rd, Jonesboro, AR 72401 2020-07-14
1053936310 Josh Roberts Physical Therapist 1010 South Main St, Jonesboro, AR 72401 2020-06-12
1003449687 Amy Mary Elizabeth Daughhetee Nurse Practitioner 225 East Washington Ave, Jonesboro, AR 72401 2020-02-21
1871126698 Sarah Lowtharp Clinical Nurse Specialist 225 East Washington Ave., Jonesboro, AR 72401 2020-02-20
1891335519 Mallori Miller Case Manager/Care Coordinator 837 Willett Rd, Jonesboro, AR 72401 2020-01-10
1265073704 Michael Bruce Collie Registered Nurse 837 Williett Road, Jonesboro, AR 72401 2019-10-07
1285283432 Jonesboro Ambulatory Surgery Center, LLC Clinic/Center 1710 Mayfield Dr, Jonesboro, AR 72401 2019-09-10
1841843943 Destinee Katrina Cole Specialist/Technologist 2015 Aggie Rd, Jonesboro, AR 72401 2019-07-18
1699250472 Jessica Marie Mcnatt Occupational Therapist 907 County Road 753, Jonesboro, AR 72401 2018-09-27
Find all providers in zip 72401

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821606005 Kafayat Folake Iyanda Specialist/Technologist 2105 East Aggie Rd, Jonesboro, AR 72401 2020-07-14
1841843943 Destinee Katrina Cole Specialist/Technologist 2015 Aggie Rd, Jonesboro, AR 72401 2019-07-18
1437628047 Bradley Belcher Specialist/Technologist 1891 E 600 S, Jonesboro, IN 46938-1536 2018-11-13
1255813200 Isabella Weiskopf Specialist/Technologist 1504 Kathleen St Apt 1802, Jonesboro, AR 72401-9453 2018-09-05
1922528363 Christine Jeffery Specialist/Technologist 5934 Rees Rd Apt 218, Jonesboro, AR 72401-9337 2017-06-27
1427592856 Zankhana Patel Specialist/Technologist 2627 Glenn Pl, Apt 109, Jonesboro, AR 72404-7966 2016-12-04
1467908137 William Rath Specialist/Technologist 2180 Aggie Road, Jonesboro, AR 72401 2016-08-31
1699127837 Michael Chad Burke Specialist/Technologist 310 East Street, Ste B, Jonesboro, AR 72401 2016-07-12
1235587650 Konstandena Ekaterini Brown Specialist/Technologist Po Box 480, Jonesboro, AR 72403-0480 2016-05-26
1619325263 Kathryn Meyers Specialist/Technologist 1614 Latourette Ln Apt 2, Jonesboro, AR 72404 2016-05-24
Find all providers in JONESBORO

Competitor

Search similar providers

City JONESBORO
Zip Code 72401

Improve Information

Please comment or provide details below to improve the information on MRS. DANETTA MICHELLE ENNIS.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches