Kristen Ennis
Specialist in Staten Island, New York
1144171687- Practice location
- 159 Tanglewood Dr, Staten Island, NY 10308-1854
- Phone
- 718-490-3754
- Fax
- —
- Last updated
- February 9, 2026
Kristen Ennis is a Specialist based in Staten Island, NY. Kristen Ennis practices in Staten Island, NY. The NPI Number for Kristen Ennis is 1144171687 and holds a License No. 1798213241 (NY). The current practice location address for Kristen Ennis is 159 Tanglewood Dr, Staten Island, NY 10308-1854 and can be reached out via phone at 718-490-3754.
Provider Profile Details
- NPI Number
- 1144171687
- Provider Name
- Kristen Ennis
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 159 Tanglewood Dr, Staten Island, NY 10308-1854
- Phone Number
- 718-490-3754
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 9, 2026
- Last Update Date
- February 9, 2026
- Certification Date
- February 9, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 159 Tanglewood Dr
Staten Island, NY 10308-1854 - City
- Staten Island
- State
- New York
- Zip
- 10308-1854
- Phone Number
- 718-490-3754
Provider Business Mailing Address Details
- Address
- 159 Tanglewood Dr
Staten Island, NY 10308-1854 - City
- Staten Island
- State
- NY
- Zip
- 10308-1854
- Phone Number
- 718-490-3754
License Information
- License Number
- 1798213241
- License State
- NY
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Staten Island, NY
View all Specialists in Staten Island →Frequently Asked Questions
What is the NPI number of Kristen Ennis?
The NPI number of Kristen Ennis is 1144171687. It was assigned on February 9, 2026 and is currently active in the NPPES registry.
What is the specialty of Kristen Ennis?
Kristen Ennis is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 1798213241.
Where does Kristen Ennis practice?
The practice location is 159 Tanglewood Dr, Staten Island, NY 10308-1854. The office can be reached at 718-490-3754 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144171687 directly on the NPPES registry website.