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).
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 |
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 |
Street Address |
100 INDEPENDENCE DR. |
City | COLUMBUS |
State | MS |
Zip Code | 39710-0001 |
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 Code | 163WW0101X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Women's Health Care, Ambulatory |
Definition to come... |
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 |
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 |
Please comment or provide details below to improve the information on MRS. DIANA KIM ENNIS.
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.