Kathleen Ennis, NP
NPI 1407430341 · Pediatric Nurse Practitioner · Syracuse, NY
Kathleen Ennis, NP is a Pediatric Nurse Practitioner provider in Syracuse, NY (NPI 1407430341).
Provider details
- NPI number
- 1407430341
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 773322 (NY)
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
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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 (2)
- 38 Seneca StBaldwinsville, NY 13027-2809Phone: (315) 559-1371
- 97 Patricia DrSyracuse, NY 13212-4272Phone: (315) 383-5050
Registry dates
- Enumerated
- 2021-05-06
- Last updated
- 2023-06-15
- Certified
- 2023-06-15
Frequently asked questions
- What is Kathleen Ennis's NPI number?
- Kathleen Ennis's National Provider Identifier (NPI) is 1407430341, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathleen Ennis's specialty?
- Kathleen Ennis is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kathleen Ennis located?
- Kathleen Ennis's practice location on file with NPPES is 4900 Broad Rd, Syracuse, NY 13215-2265.
- What is Kathleen Ennis's phone number?
- The practice phone number listed in the NPPES registry for Kathleen Ennis is (315) 492-5011.
- Is Kathleen Ennis's NPI active?
- Yes — Kathleen Ennis's NPI (1407430341) is active in the NPPES registry as of the last update on 2023-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.