Beth Lenor Ennis, APN, BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

27437/APN00428 Issued in NV

Practice address

1 Frankee St
Tonopah, NV 89049-0409

Phone

(775) 482-6659

Fax

(775) 482-3430

NPI assigned

Feb 16, 2006

Last updated

Oct 19, 2012By the provider in NPPES

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

Other identifiers 1

Other names 1

• Mrs. Beth Waters Ennis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1962476721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409",
            "address_2": "1 FRANKEE ST.",
            "city": "TONOPAH",
            "state": "NV",
            "postal_code": "890490409",
            "telephone_number": "775-482-6659",
            "fax_number": "775-482-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FRANKEE ST",
            "city": "TONOPAH",
            "state": "NV",
            "postal_code": "890490409",
            "telephone_number": "775-482-6659",
            "fax_number": "775-482-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNIS",
        "first_name": "BETH",
        "middle_name": "LENOR",
        "name_prefix": "Mrs.",
        "credential": "APN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "27437/APN00428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24-12021",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "ENNIS",
            "middle_name": "WATERS",
            "prefix": "MRS.",
            "credential": "APN, BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Nurse Practitioner in Tonopah, NV
• Providers in Tonopah, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.