TRACI ENNIS (NPI# 1487692406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487692406 |
| Entity Type | Individual |
| Full Name | TRACI ENNIS |
| Credential | PA-C |
| Practice Address |
250 Pleasant St Concord NH 03301-7539 |
| Mailing Address |
19 Farrington Corner Rd Hopkinton NH 03229-2020 |
| Practice Telephone | 6032287575 |
| Practice Fax Number | 6032287585 |
| Mailing Telephone | 6032287575 |
| Mailing Fax Number | 6032287585 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2009-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0212 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
250 PLEASANT ST |
| City | CONCORD |
| State | NH |
| Zip Code | 03301-7539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619970746 | Jay Bryan Bannister | Family Medicine | 250 Pleasant St, Fhc Concord, Yeaple Building, Concord, NH 03301-7539 | 2005-05-23 |
| 1932712593 | Sahil Gupta | Family Medicine | 250 Pleasant St, Concord, NH 03301-2598 | 2020-08-24 |
| 1033721089 | Fu Sheng Wang | Family Medicine | 250 Pleasant St, Concord, NH 03301-7559 | 2020-08-20 |
| 1619585643 | Joshua Bartlett | Family Medicine | 250 Pleasant St, Concord, NH 03301-7559 | 2020-07-15 |
| 1538787957 | James Tremayne | Family Medicine | 250 Pleasant St, Concord, NH 03301-7559 | 2020-07-13 |
| 1831717941 | Sherise Drost | Family Medicine | 250 Pleasant St, Concord, NH 03301-2598 | 2020-07-07 |
| 1043837271 | Ajhani Kesavan | Family Medicine | 250 Pleasant St, Concord, NH 03301-2598 | 2020-07-04 |
| 1881210391 | Katherine Ann Rice | Family Medicine | 250 Pleasant St, Concord, NH 03301-2598 | 2020-06-20 |
| 1134745078 | Clare Elizabeth O'grady | Family Medicine | 250 Pleasant St, Concord, NH 03301-2598 | 2020-06-16 |
| 1831712520 | Margaret Davis Mcdonell | Nurse Anesthetist, Certified Registered | 250 Pleasant St, Concord, NH 03301-7559 | 2020-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154988483 | Kelly Jean O'brien | Dental Hygienist | Nhti-concord's Community College, 31 College Drive, Concord, NH 03301 | 2019-05-22 |
| 1437640679 | Kyle Moore Thorne | Nurse Anesthetist, Certified Registered | 1 Pillsbury St Ste 202, Concord, NH 03301 | 2018-05-23 |
| 1730688789 | Ashley M Pinkham | Nurse Practitioner | 246 Pleasant St Ste 104, Concord, NH 03301 | 2018-02-06 |
| 1134645831 | D & B Medical Logistics LLC | Non-emergency Medical Transport (VAN) | 119 Old Turnpike Rd, Concord, NH 03301 | 2017-08-15 |
| 1821520727 | Julie Haejung Chang | Dentist | 273 Loudon Rd, Concord, NH 03301 | 2017-03-30 |
| 1407396500 | Oakmont Med Solutions | Durable Medical Equipment & Medical Supplies | 14 Centre Street, Concord, NH 03301 | 2017-03-08 |
| 1407210347 | Sherri Jean Perry | Nurse Practitioner | Medoptions Behavioral Health Services, 10 Ferry Street, Suite 313, Concord, NH 03301 | 2016-04-06 |
| 1922474428 | Optometric Associates of Nh, LLC | Optometrist | 273 Loudon Road, Suite 7, Concord, NH 03301 | 2015-08-19 |
| 1871969600 | Creative Counseling Center, Pllc | Counselor | 18 Kennedy Lane, Concord, NH 03301 | 2015-08-16 |
| 1376927087 | Families In Transition | Counselor | 9 Odd Fellows Ave, Concord, NH 03301 | 2015-07-13 |
| Find all providers in zip 03301 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455116 | Catherine Elizabeth O'neill | Physician Assistant | 4397 Arrowwood Cir, Concord, CA 94521-4428 | 2020-10-22 |
| 1972112084 | Claire Thetford | Physician Assistant | 9859 Flower Bonnet Ave Nw, Concord, NC 28027-8230 | 2020-07-24 |
| 1497379770 | Jacqueline Watts | Physician Assistant | 45 Garrison Rd, Concord, MA 01742-1926 | 2020-06-03 |
| 1063050870 | Kathryn Taylor Dudoroff | Physician Assistant | 5374 Myrtle Dr, Concord, CA 94521-1519 | 2019-12-12 |
| 1841833449 | Jennifer Lau | Physician Assistant | 4397 N Spoonwood Ct, Concord, CA 94521-4305 | 2019-10-26 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1598232134 | Catherine Valerie Hickey | Physician Assistant | 4040 Cowell Rd, Concord, CA 94518-1711 | 2018-11-01 |
| 1316422876 | Brendan Kyle Lucas | Physician Assistant | 2332 Fairfield Ave, Concord, CA 94520-1912 | 2018-10-01 |
| 1760999510 | Padmaja Shyamala Murtinty | Physician Assistant | 780 Oak Grove Rd Apt D119, Concord, CA 94518-2772 | 2018-01-02 |
| 1538672068 | Michelle Jaclyn Garcia | Physician Assistant | 1855 Gateway Blvd Ste 100, Concord, CA 94520 | 2017-11-06 |
| Find all providers in CONCORD | ||||
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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.