ANDREA MARCIA ENNIS (NPI# 1437394368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437394368 |
| Entity Type | Individual |
| Full Name | ANDREA MARCIA ENNIS |
| Credential | RN, NP |
| Practice Address |
1245 Wilshire Blvd Suite 703 Los Angeles CA 90017-4810 |
| Mailing Address |
Po Box 31309 Los Angeles CA 90031-0309 |
| Practice Telephone | 2139770419 |
| Mailing Telephone | 2139770419 |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 17534 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649773391 | Andrea Ennis | Behavior Technician | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2018-03-08 |
| Street Address |
1245 WILSHIRE BLVD SUITE 703 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805914 | Thomas Henry Kanegae | Internal Medicine | 1245 Wilshire Blvd, Ste 804, Los Angeles, CA 90017-4810 | 2005-07-20 |
| 1548736903 | Jocelyn Choy | Physician Assistant | 1245 Wilshire Blvd, Los Angeles, CA 90017-4810 | 2018-10-23 |
| 1619419819 | Mandy Littlefield | Nurse Practitioner | 1245 Wilshire Blvd, Los Angeles, CA 90017-4810 | 2016-11-06 |
| 1710431853 | Judy Justus | Physician Assistant | 1245 Wilshire Blvd, #707, Los Angeles, CA 90017-4810 | 2016-08-05 |
| 1295196756 | Suyoun Lee | Nurse Practitioner | 1245 Wilshire Blvd, Suite 703, Los Angeles, CA 90017-4810 | 2016-03-11 |
| 1588024723 | Yahan Chung | Registered Nurse | 1245 Wilshire Blvd, Suite 703, Los Angeles, CA 90017-4810 | 2016-03-01 |
| 1770964454 | Billings Orthopedics Inc | Orthopaedic Surgery | 1245 Wilshire Blvd, Suite 611, Los Angeles, CA 90017-4810 | 2015-06-17 |
| 1730570243 | Carmina-lou Paez | Nurse Practitioner | 1245 Wilshire Blvd, Suite 703, Los Angeles, CA 90017-4810 | 2015-02-05 |
| 1639569270 | Los Angeles Cardiology Associates | Nurse Practitioner | 1245 Wilshire Blvd, Suite 703, Los Angeles, CA 90017-4810 | 2015-02-04 |
| 1316357007 | Olivia A Wu | Nurse Practitioner | 1245 Wilshire Blvd, Los Angeles, CA 90017-4810 | 2014-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845700 | Amber Li | Nurse Practitioner | 3852 Bostwick St, Los Angeles, CA 90063-1765 | 2020-09-11 |
| 1750995916 | Yeranui Stepanyan Np Advance Practice Nursing Apc | Nurse Practitioner | 1711 W Temple St Fl 1, Los Angeles, CA 90026-7329 | 2020-09-04 |
| 1255943452 | Emily Wright | Nurse Practitioner | 11500 W Olympic Blvd Ste 570, Los Angeles, CA 90064-1536 | 2020-08-19 |
| 1174134472 | Hanna Song | Nurse Practitioner | 1234 Wilshire Blvd Apt 437, Los Angeles, CA 90017-1983 | 2020-08-11 |
| 1760090351 | Katherine Tran | Nurse Practitioner | 11120 Queensland St Unit B11, Los Angeles, CA 90034-5230 | 2020-07-20 |
| 1811512072 | Annabel Jeng | Nurse Practitioner | 3360 Isabel Dr, Los Angeles, CA 90065-1931 | 2020-06-13 |
| 1205465994 | Tania Parhami | Nurse Practitioner | 2045 S Bentley Ave Apt 201, Los Angeles, CA 90025-5673 | 2020-04-03 |
| 1205466349 | Laura Madeline Locke | Nurse Practitioner | 127 S San Vicente Blvd Ste 6600, Los Angeles, CA 90048-3311 | 2020-01-16 |
| 1629616412 | Marcie Lynn Hulpa | Nurse Practitioner | 11812 Gorham Ave Apt 203, Los Angeles, CA 90049-5491 | 2019-12-12 |
| 1457901183 | Alexandria Rebecca Borys | Nurse Practitioner | 200 Ucla Medical Plz Ste B265b2, Los Angeles, CA 90095-8344 | 2019-09-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
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| 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.