Raven Ennis
NPI 1407278757 · Psychiatric/Mental Health Nurse Practitioner · Las Vegas, NV
Raven Ennis is a Psychiatric/Mental Health Nurse Practitioner provider in Las Vegas, NV (NPI 1407278757).
Provider details
- NPI number
- 1407278757
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN73437 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 330 S Valley View BlvdLas Vegas, NV 89107-4361Phone: (702) 759-0882
Registry dates
- Enumerated
- 2014-01-06
- Last updated
- 2021-03-22
- Certified
- 2021-03-22
Frequently asked questions
- What is Raven Ennis's NPI number?
- Raven Ennis's National Provider Identifier (NPI) is 1407278757, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raven Ennis's specialty?
- Raven Ennis is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Raven Ennis located?
- Raven Ennis's practice location on file with NPPES is 4270 S Decatur Blvd Ste B6, Las Vegas, NV 89103-6802.
- What is Raven Ennis's phone number?
- The practice phone number listed in the NPPES registry for Raven Ennis is (702) 485-2100.
- Is Raven Ennis's NPI active?
- Yes — Raven Ennis's NPI (1407278757) is active in the NPPES registry as of the last update on 2021-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.