Julie Ennis, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1566 Issued in TN

Practice address

1221 Gay St
Dandridge, TN 37725-4723

Phone

(865) 397-3194

Fax

(865) 397-3194

NPI assigned

Aug 12, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Functional Pathways Preferred of Tennessee LLC

  • Physical Therapist
  • Knoxville, TN
  • NPI 1841561446

  Occupational Therapist

  Medicare reassignment NPD
• Jefferson County Board of Education

  • Local Education Agency (LEA)
  • Dandridge, TN
  • NPI 1164805644
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1770959876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 GAY ST",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254723",
            "telephone_number": "865-397-3194",
            "fax_number": "865-397-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 GAY ST",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254723",
            "telephone_number": "865-397-3194",
            "fax_number": "865-397-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNIS",
        "first_name": "JULIE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "1566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna R Dillard, M.D.
• Drug Testing Solutions, Inc
• Jessica W Duncan, FNP
• Elite Dental PLLC
• Taylor Nicole England-Wells, OD
• Sheila L Evans, CPHT
• Regina Jellicorse Fields, MD
• Alison Ruth Fisher, MPHARM
• Lisa E Fletcher, D.M.D
• Sherri Ann Ford, PHARMD

• Occupational Therapist in Dandridge, TN
• Providers in Dandridge, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.