LISA M ENNIS NP
NPI 1174510242
Nurse Practitioner in New Hartford, NY
NPI Status: Active since October 04, 2005
Contact Information
1729 BURRSTONE RD
NEW HARTFORD, NY
ZIP 13413
Phone: (315) 798-1700
Fax: (315) 798-1707
- Individual
- Female
- Nurse Practitioner
About LISA ENNIS
This page provides the complete NPI Profile along with additional information for Lisa Ennis, a provider established in New Hartford, New York with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1174510242 assigned on October 2005. The practitioner's primary taxonomy code is 363L00000X with license number 330969 (NY). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1174510242
- Provider Name
- LISA M ENNIS NP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1729 BURRSTONE RD NEW HARTFORD, NY 13413
- Location Phone
- (315) 798-1700
- Location Fax
- (315) 798-1707
- Mailing Address
- 1729 BURRSTONE RD NEW HARTFORD, NY 13413
- Mailing Phone
- (315) 798-1700
- Mailing Fax
- (315) 798-1707
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-04-2005
- Last Update Date
- 07-08-2007
- Code Navigator
A nurse practitioner (NP) like Lisa Ennis is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 330969
- License State
- NY
- Taxonomy Description
- (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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 02326832 | MEDICAID (05) | NY | |
| RA0906 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| S98056 | MEDICARE UPIN (02) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 5 | 1 | 0 | 2 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 10 | 1 | 0 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 0 + 1 + 0 + 2 + 8 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1174510242 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1538162789 | CHRISTOPHER M ALINEA MD Individual | Internal Medicine | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1356333801 | DR. SIDNEY J BLATT Individual | Internal Medicine (Cardiovascular Disease) | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1508 |
| 1265424626 | DR. JAMES M CIMO M.D. Individual | Internal Medicine | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1831 |
| 1417949819 | DR. GUNNAR H ANDERSON M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1668 |
| 1831182542 | DR. BRUNO I APLOKS M.D. Individual | Otolaryngology | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1295728939 | MS. MICHELLE L CHAMBRONE NP Individual | Nurse Practitioner | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1265426480 | DR. GEORGE K TOMY M.D. Individual | Internal Medicine | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1417941634 | DR. DANA M ZACHAREWICZ M.D. Individual | Radiology (Nuclear Radiology) | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1063406171 | DR. MARK E. BLAKER M.D. Individual | Internal Medicine (Cardiovascular Disease) | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1417941527 | DR. WILLIAM D FUCHS M.D. Individual | Pediatrics | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1770577884 | DR. THOMAS JOHN M.D. Individual | Internal Medicine | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1808 |
| 1780678995 | DR. POURUSHASP J DHABHAR M.D. Individual | Allergy & Immunology | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1861486078 | DR. CARL L KRASNIAK M.D. Individual | Surgery (Plastic and Reconstructive Surgery) | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1770577983 | DR. M. DOUGLAS KRUMPHOLZ M.D. Individual | Otolaryngology | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1679567887 | DR. THANG Q LE M.D. Individual | Internal Medicine | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1588658793 | DR. DANA LEVI M.D. Individual | Radiology (Nuclear Radiology) | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1114911336 | DR. JOSEPH I RAJ M.D. Individual | Family Medicine | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1669466884 | DR. SULTANA RAZIA M.D. Individual | Internal Medicine (Hematology & Oncology) | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1477547693 | DR. NAEEM SAMAD MD Individual | Urology | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1649264862 | DR. ALLAN M. SMILEY M.D. Individual | Internal Medicine (Rheumatology) | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174510242, enumerated in the NPI registry as an "individual" on October 04, 2005
The provider is located at 1729 Burrstone Rd New Hartford, Ny 13413 and the phone number is (315) 798-1700
The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 04, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.