What is Stacey Ennis's NPI number?

Stacey Ennis's National Provider Identifier (NPI) is 1790180057, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Stacey Ennis's specialty?

Stacey Ennis is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).

Where is Stacey Ennis located?

Stacey Ennis's practice location on file with NPPES is 300 N Kentucky Ave, Roswell, NM 88201-4636.

What is Stacey Ennis's phone number?

The practice phone number listed in the NPPES registry for Stacey Ennis is (575) 627-2500.

Is Stacey Ennis's NPI active?

Yes — Stacey Ennis's NPI (1790180057) is active in the NPPES registry as of the last update on 2014-10-29.

IndividualActive

Stacey Ennis

NPI 1790180057 · Speech-Language Pathologist · Roswell, NM

Stacey Ennis is a Speech-Language Pathologist provider in Roswell, NM (NPI 1790180057).

Provider details

NPI number: 1790180057
Entity type: Individual
Primary specialty: Speech-Language PathologistSpeech, Language and Hearing Service Providers
Sex: Female
Sole proprietor: Yes
License: C-5578 (NM)

Specialties & taxonomies

Speech-Language PathologistPrimary235Z00000XLicense C-5578 (NM)
Speech, Language and Hearing Service Providers

Profile Score

Detailed profile(75/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

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

300 N Kentucky Ave

Roswell, NM 88201-4636

Phone: (575) 627-2500

Street-level locationGet directions

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Mailing address