MRS. DIANA KIM ENNIS


Address: 100 Independence Dr., Columbus, MS 39710-0001
Phone: 6624342181

MRS. DIANA KIM ENNIS (NPI# 1740246958) 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) 1740246958
Entity Type Individual
Full Name MRS. DIANA KIM ENNIS
Credential NP
Practice Address 100 Independence Dr.
Columbus
MS 39710-0001
Mailing Address 8536 Timber Walk Cv
Cordova
TN 38018-4337
Practice Telephone 6624342181
Mailing Telephone 9017553599
Enumeration Date 2006-04-25
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WW0101X Registered Nurse
Specialization: Women's Health Care, Ambulatory
APN0000006307 TN Nursing Service Providers

Office Location

Street Address 100 INDEPENDENCE DR.
City COLUMBUS
State MS
Zip Code 39710-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558653063 Steven Thomas Fosmire Preventive Medicine 14th Medical Group, 201 Independence Dr., Ste 2255, Columbus Afb, MS 39710 2011-05-03
1457311573 Benjamin Jordan Franklin Optometrist 14 Medical Group, 201 Independence Dr Ste 235, Columbus Afb, MS 39710 2006-03-24
1396713194 Kirk Tracy Moss Family Medicine 14th Mdg, 201 Independence Dr, Columbus Afb, MS 39710 2006-03-09
1659367266 Paul H Nelson Family Medicine 201 Independence Dr, 14th Medical Group Ste 235, Columbus Afb, MS 39710 2005-09-20
1467447201 James Henry Heriot Internal Medicine 201 Independence Drive, 14th Medical Group/sgoq, Columbus Afb, MS 39710 2005-09-19
1699372938 Stacie Lynn Penkova Pharmacist 14th Medical Group, 201 Independence Drive, Columbus Afb, MS 39710 2020-10-08
1932696713 James Tyler Bates Family Medicine 201 Independence, Columbus, MS 39710 2018-04-17
1972964591 Lauren Beers Physical Therapist 201 Independence, Columbus, MS 39710 2016-03-09
1558740019 William Jennings Amador Family Medicine 201 Independence Drive, 14th Medical Group, Columbus Afb, MS 39710 2015-05-29
1992117378 Jennifer Bryant Williams Social Worker 201 Independence, Columbus, MS 39710 2014-05-20
Find all providers in zip 39710

Taxonomy Information

Taxonomy Code 163WW0101X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Women's Health Care, Ambulatory

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093225179 Chatora C Tolbert Berry Registered Nurse 1900 10th Ave Ste 200, Columbus, GA 31901-3605 2017-10-03
1821422742 Susan June Saunders Registered Nurse 3600 Olentangy River Rd, Building A, Columbus, OH 43214-3437 2013-08-27
1992973747 Allison W Talley Registered Nurse 1315 W Lane Ave, Suite D, Columbus, OH 43221-3538 2008-02-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275597601 Peggy Lea Lewis Registered Nurse 301 Fisher St, Kafb, Biloxi, MS 39534-2508 2006-04-13
1225091192 Keesler Medical Center 81st Medical Group Registered Nurse 301 Fisher St, Ste 109, Keesler Afb, MS 39534-2508 2006-04-10

Competitor

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City COLUMBUS
Zip Code 39710

Improve Information

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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.

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