NICOLE RENEE ENNIS (NPI# 1659925717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659925717 |
| Entity Type | Individual |
| Full Name | NICOLE RENEE ENNIS |
| Credential | PMHNP-BC |
| Practice Address |
1812 Plaza Dr Winchester VA 22601-6365 |
| Mailing Address |
100 Flyfoot Dr Stephenson VA 22656-1955 |
| Practice Telephone | 5406671226 |
| Mailing Telephone | 3046706877 |
| Enumeration Date | 2019-07-27 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024179001 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R2411477 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1812 PLAZA DR |
| City | WINCHESTER |
| State | VA |
| Zip Code | 22601-6365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811904535 | Rauf Cheema | Psychiatry & Neurology | 1812 Plaza Dr, Winchester, VA 22601-6365 | 2006-08-02 |
| 1265987002 | Sohayla Raja | Nurse Practitioner | 1812 Plaza Dr, Winchester, VA 22601-6365 | 2016-08-22 |
| 1205849411 | Shabana Firdous | Psychiatry & Neurology | 1812 Plaza Dr, Winchester, VA 22601-6365 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184288961 | Michael Frederick Ellis | Social Worker | 2913 Pleasant Valley Avenue, Suite 125, Winchester, VA 22601 | 2019-04-26 |
| 1437713542 | Ann Marie Aldrich | Nurse Practitioner | 172 Linden Dr, Winchester, Suite #100, Wincehster, VA 22601 | 2019-04-24 |
| 1023570678 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 3111 Valley Ave., Unit 112c, Creekside Station, Winchester, VA 22601 | 2019-04-03 |
| 1992203574 | Deborah K. Inaba | Clinical Exercise Physiologist | 1410 S Braddock St, Winchester, VA 22601 | 2018-01-29 |
| 1043728272 | Emily Anne Griffin | Registered Nurse | 440 W Jubal Early Dr Ste 240, Winchester, VA 22601 | 2018-01-23 |
| 1114431467 | Alicia Moreno Billy | Social Worker | 817 Cedar Creek Grade, Suite 202, Winchester, VA 22601 | 2017-11-24 |
| 1558800391 | Heather Leach | Counselor | 116 Piccadilly Street, Suite 12, Winchester, VA 22601 | 2017-02-13 |
| 1649718396 | Hunt Country Health Services | Home Health | 31 S Braddock St Ste 106, Winchester, VA 22601 | 2017-02-02 |
| 1568830958 | Megan Mcintyre | Physical Therapist | 3052 Valley Ave Ste 101, Winchester, VA 22601 | 2015-09-02 |
| 1093195299 | Sara Elizabeth Archetti | Speech-Language Pathologist | Frederick County Public Schools, 1415 Amherst Street, Winchester, VA 22601 | 2015-06-02 |
| Find all providers in zip 22601 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124163852 | Linda Ann Cahill | Nurse Practitioner | 898 Main St, Marcus Health, Winchester, MA 01890 | 2007-02-20 |
| 1114013422 | Belinda Nicole Walsh | Nurse Practitioner | 301 N Cameron St, Suite 100, Winchester, VA 22601-4899 | 2006-10-05 |
| 1871142307 | Adomale Elba | Nurse Practitioner | 36 Ricketts Dr, Winchester, VA 22601-3676 | 2019-09-06 |
| 1922573104 | Rebecca Ann Myers-settle | Nurse Practitioner | 36 Ricketts Dr, Winchester, VA 22601-3676 | 2018-10-03 |
| 1851814743 | Ching Hon | Nurse Practitioner | 36 Ricketts Dr, Winchester, VA 22601-3676 | 2017-07-21 |
| 1265987002 | Sohayla Raja | Nurse Practitioner | 1812 Plaza Dr, Winchester, VA 22601-6365 | 2016-08-22 |
| 1285009894 | Jean Barrett Devaney | Nurse Practitioner | 36 Ricketts Dr, Winchester, VA 22601-3676 | 2015-12-08 |
| 1801285598 | Birthinmind, LLC | Nurse Practitioner | 1812 W Plaza Dr, Winchester, VA 22601-6365 | 2015-01-18 |
| 1174911887 | Tina J Myer | Nurse Practitioner | 1840 Amherst St, Winchester, VA 22601-2808 | 2015-01-05 |
| 1699199471 | Maneika Shifflett | Nurse Practitioner | 36 Ricketts Dr, Winchester, VA 22601-3676 | 2014-02-13 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 22601 |
Please comment or provide details below to improve the information on NICOLE RENEE 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.